Pathophysiology of Pain Flashcards

1
Q

What is pain?

A

Pain involving specific receptors that detect various stimuli, including sharp pain and extreme temperatures.

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2
Q

What are nociceptors?

A

Nociceptors are receptors that detect noxious stimuli and relay signals to the spinal cord.

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3
Q

How does pain signal travel in the nervous system?

A

Pain signals travel through sensory nerves to the dorsal aspect of the spinal cord, then to the thalamus and cerebral cortex.

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4
Q

What is the role of the thalamus in pain perception?

A

The thalamus processes sensory information and directs it to the appropriate area of the cerebral cortex for interpretation.

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5
Q

What are the aspects of the spinal cord?

A

The spinal cord has dorsal (back) and ventral (front) aspects, with sensory information entering through the dorsal side and motor responses exiting from the ventral side.

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6
Q

What are the layers protecting the brain and spinal cord?

A

The brain and spinal cord are protected by three layers called meninges: pia mater (thin), arachnoid mater (spider-like), and dura mater (tough).

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7
Q

What is nociceptive pain?

A

Nociceptive pain is caused by tissue damage, usually described as sharp, aching, or throbbing pain.

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8
Q

What is neuropathic pain?

A

Neuropathic pain results from nerve damage or dysfunction, which may involve abnormal sensations (dysesthesia) or pain from normally non-painful stimuli (allodynia).

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9
Q

What are alpha-delta fibers?

A

Alpha-delta fibers are fast fibers for sharp pain.

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10
Q

What are C fibers?

A

C fibers are slow fibers for dull, throbbing pain.

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11
Q

What is the Gate Control Theory?

A

The Gate Control Theory suggests that non-noxious stimuli can inhibit the perception of pain by ‘closing the gate’ in the nervous system.

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12
Q

What is the role of endorphins?

A

Endorphins, released by the body in response to stress or trauma, bind to opioid receptors to reduce pain perception, similar to morphine.

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13
Q

What is GABA’s role in pain management?

A

GABA is an inhibitory neurotransmitter that blocks pain signals.

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14
Q

How does morphine provide pain relief?

A

Morphine binds to mu, delta, and kappa opioid receptors, providing pain relief but also causing side effects like respiratory depression.

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15
Q

What is the function of local anesthetics like lidocaine?

A

Lidocaine acts as a sodium channel blocker, preventing action potentials and providing local anesthesia.

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16
Q

What is Entonox?

A

Entonox is a mixture of nitrous oxide and oxygen that reduces pain perception.

17
Q

What is ibuprofen?

A

Ibuprofen is an NSAID that inhibits cyclooxygenase enzymes, reducing pain and inflammation.

18
Q

What is the Numerical Pain Scale?

A

The Numerical Pain Scale is used to gauge patient pain levels.

19
Q

What is the Faces Pain Scale?

A

The Faces Pain Scale helps assess pain in children, though it may not account for all reasons for distress.

20
Q

How is pain assessed in dementia patients?

A

Dementia Pain Assessment requires careful observation of body language and behavior.

21
Q

Why is it important for patients to describe their pain?

A

It’s essential to allow patients to describe their pain in their own words, as pain perception can vary widely among individuals.