Pain Sensation Flashcards

1
Q

Where are pain sensations elicited?

A

Nociceptors

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2
Q

What are the two types of nociceptors known as? How are they different from each other?

A

A-delta group (myelinated) : conduction rate - 5 to 30m/s. Respond to Heat and mechanical stimuli C-fiber group (unmyelinated) : conduction rate less than 2m/s. Responds to thermal, mechanical and chemical stimuli

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3
Q

What are the two main categories of Pain perception?

A

First pain which is sharp in the beginning, short-lived and followed by second pain which is prolonged, slower and diffused.

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4
Q

What is the threshold for perceiving thermal stimuli as noxious?

A

43°C (110°F)

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5
Q

What is the role of transient receptor potential?

A

sensitivity to a range of thermal stimuli (hot to cold)

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6
Q

How is Capsaicin used in clinical settings?

A

It is used as an anti inflammatory agent and analgesic in pain relief sprays and cream

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7
Q

How are Central Pain pathways different from Mechanosensory pathways?

A

anterolateral system conveys pain information while

the dorsal column–medial lemniscal system conveys mechanosensory information.

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8
Q

Where do the first and second order neurons end?

A

The first order neurons end at the dorsal horn of Spinal Cord and the second order neurons terminate in brain stem and thalamus.

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9
Q

What happens after a unilateral lesion in the spinal cord

A

Dissociated sensory loss in ipsilateral side (loss of touch, pressure, vibration and proprioception) and contralateral side (Loss of temperature and pain sensation) of the body.

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10
Q

What are the two aspects of pain sensation and How are they mediated?

A

Sensory - discriminative aspect of first pain is mediated through the spinothalamic tract and affective-motivational aspect of second pain is mediated through complex pathways towards limbic system.

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