Pathophysiology of PAIN Flashcards

1
Q

What structures are more sensitive to actual or potentially damaging stimulus?

A
  1. Periosteum and joint capsule
    2.Subchondral bone, tendons, ligament
    3.Muscle and cortical bone
    4.Synovium and articular cartilage
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2
Q

What is nociceptive pain?

A

Pain via stimulation of nociceptors (pain sensors)

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3
Q

What is neuropathic pain?

A

Pain via direct nerve damage?

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4
Q

What is a nerve ending?

A

The termination of a nerve fibre in a peripheral structure

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5
Q

What are the two types of nerve endings?

A

Sensory (receptor) and motor ending (effector)

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6
Q

Mechanoreceptors respond to…

A

skin, light touch, deep touch, pressure, hair follicle deflection

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7
Q

Ruffini corpuscles are?

A

Mechanoreceptors/proprioceptors that are in the skin and sensitive to touch, tension; in joint capsule.

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8
Q

Krauses end bulbs are?

A

Thermoreceptors (cold)

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9
Q

Pain receptors that are sensitive to extreme mechanical, thermal or chemical energy, and respond to noxious stimuli?

A

Nociceptors

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10
Q

What do afferent nerve fibres (neurons) do?

A

They transmit impulses from sensory receptors toward the brain

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11
Q

What do efferent nerve fibres transmit?

A

Impulses from the brain towards to periphery

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12
Q

What is the process of first order/primary afferents?

A

They transmit impulses from sensory receptors to neurons at the dorsal horn of the spinal cord

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13
Q

What is the associated sensory receptor for type 1a?

A

Receptors of muscle spindles

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14
Q

What is the associated sensory receptor for type lb?

A

Golgi tendon organ

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15
Q

What is the associated sensory receptor for type Aβ( II)

A

All cutaneous mechanreceptors

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16
Q

What is the associated sensory receptor for type Aδ (III)?

A

Free nerve endings of touch and pressure
Cold thermoreceptors
Nociceptors of neospinothalamic tract

17
Q

What is the associated sensory receptor for type C (IV)?

A

Nociceptors of paleospinothalamic tract, warmth receptors

18
Q

A-delta fibres are?

A

Myelinated, pain is fast and well localised

19
Q

C fiberes are?

A

Unmyelinated and smaller than A-delta, transmitting slower so the pain is more of a lasting ache.