placement 1 Pain Clinic Flashcards

1
Q

CRPS

A

Complex regional pain syndrome

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2
Q

Test to aid in CRPS diagnosis

A

Budapest criteria
o Signs (OBJ) vs symptoms (SUB)
o Continuing pain, disproportionate to any inciting event
o At least 1 symptoms in ¾ of the categories
o At least 1 signs in 2 or more of the categories
o No other condition better explain the PC

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3
Q

UMN vs LMN lesion

A

Upper: brain and spinal cord
o Babinski, hoffmans
o Increased tone, reflexes, weakness
o Stroke, MS,

Lower: spinal cord -> muscles
o Decreased/normal tone, atrophy, reduced reflexes, weakness
o Peripheral nerve; could be due to central compression

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4
Q

What is Spondylosis

A

Arthritis of the spine

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5
Q

Myelopathy

A

o Compression of the spinal cord
o Likely disc changes, or central spinal stenosis
o Loss of balance and co-ordination, numbness, tingling, weakness, pain, loss of bowel or bladder function, difficulty walking, pain in low back, neck, arm/leg, clumsy gait,
o Symptomatic in a non-specific/non-dermatomal pattern -> mis-diagnose as Fibromyalgia

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6
Q

Stenosis

A

Narrowing of the space containing the spinal cord or where the nerve root exists the cord

/bony changes lead to nerve compression

Due to degen changes

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7
Q

AVN

A

Avascular necrosis
Disruption of blood flow to the head of femur
Femoral head pathology

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8
Q

Osteotomy

A

Bone cutting and reshaping surgery to restore function

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9
Q

Arthroplasty

A

Joint replacement surgery/impant

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10
Q

neuropathic meds (8)

A

Amitriptyline – headache, depression

Pregabalin & gabapentin – epilepsy, headache, anxiety

Morphine – opioid; not as effective when use alone, need combine

Oxycodone - opioid

Codeine – opioid; Often combined with acetaminophen, ibuprofen

Duloxetine – opioid, Depression, bladder problem

Tramadol – opioid; POWERFUL, only for ST

Capsaicin – intense burning sensation initial use

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11
Q

arthrodesis

A

joint fusing surgery

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12
Q

Vertigo

A

A Sx, rather than condition

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13
Q

RA - SCREEND’ EM (10)

A

o Skin changes – psoriasis
o IBS – inflammatory bowel disease
o Family Hx
o Painful red eye
o Early morning stiffness >30 mins
o Nails – pitting, thickening, painless detachment
o Swilling of the fingers
o Inflamed Achilles tendon, plantar fascia, patellar tendon
o Worse w REST, better with mvmt
o Response well to NSAIDs

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14
Q

Ways to desensitize the nervous system
(Name a few)

A

Meditation and mindfulness
Relaxation
Sleep
Diaphragmatic breathing
Exercises
Positive thoughts
Cold plunges
Weighted blankets

= Reduce stress

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15
Q

Ways to desensitize the nervous system
(Name a few)

A

Meditation and mindfulness
Relaxation
Sleep
Diaphragmatic breathing
Exercises
Positive thoughts
Cold plunges
Weighted blankets

= Reduce stress

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