Signs and Symptoms

Question 1

pain sensation

Answer 1

nociception

Question 2

pain receptors

Answer 2

nociceptors

Question 3

tissue damage results in release of

Answer 3

serotonin
substance P
histamine
kinin peptides
(all nociceptive substances)

Question 4

serotonin, substance P, histamine, and kinin peptides activate pain signals by

Answer 4

acting on free nerve endings

Question 5

sharp pain is conveyed by

Answer 5

thin, myelinated type A delta fibers

Question 6

dull, achy, hurting pain is conveyed by

Answer 6

unmyelinated, slow type c fibers

Question 7

what has a lot of nociceptors

Answer 7

skin
joints
arterial walls
periosteum

Question 8

most important that the patient identifies where

Answer 8

the pain is located

Touch area and delineated borders if possible

Question 9

aching

Answer 9

muscle, tendon, ligament

Question 10

bounding

Answer 10

vasuclar, circulation

Question 11

burning

Answer 11

nerve root, arterial

Question 12

cramp

Answer 12

muscle

Question 13

boring deep pain

Answer 13

cancer, bone pain

Question 14

unrelenting deep pain

Answer 14

cancer, visceral

Question 15

dull

Answer 15

musculoskeletal, visceral

Question 16

gnawing

Answer 16

ulcer

Question 17

radiating (well delineated)

Answer 17

nerve (causalgia-burning pain form peripheral nerve)

Question 18

radiating (diffuse)

Answer 18

scerotogenous or myogenous

Question 19

sharp/localized

Answer 19

facet, visceral referred

Question 20

stabbing

Answer 20

visceral

Question 21

shooting

Answer 21

nerve root, entrapment

Question 22

tearing

Answer 22

anuerysm or severe sprain

Question 23

throbbing

Answer 23

vascular, circulation

Question 24

tingling (segmental)

Answer 24

nerve root, peripheral nerve

Question 25

tingling (non segmental)

Answer 25

if bilateral: cord compression, M.S., diabetes

if unilateral: plexus

Question 26

dermatogenous

Answer 26

pain along the sensory distribution of a nerve root

sharp, stabbing, well demarcated

Question 27

myogenous

Answer 27

pain referral within muscular or fascial tissue

Trigger points within the muscle will refer pain to a distant site

myofacial

Question 28

scerlatogenous

Answer 28

pain referred from somatic structures (cartilage, ligament, joint capsule or bone)

Typically will not follow dermatome

dull, achy, diffuse, difficult to pinpoint

Question 29

timing of pain

-with use, better with rest

Answer 29

mechanical

Question 30

timing of pain

-night pain

Answer 30

serious (cancer)

If aggravated by motion- mechanical

Question 31

timing of pain

-Pain at rest and worse with beginning of use

Answer 31

inflammatory

Question 32

Timing of pain

-constant

Answer 32

cancer, visceral

Question 33

right shoulder inferior scapula

Answer 33

right lung, liver, gallbladder

Question 34

left shoulder

Answer 34

left lung, stomach, spleen

Question 35

jaw, neck, left shoulder and arm

Answer 35

heart

Question 36

either shoulder

Answer 36

diaphragm

Question 37

flank

Answer 37

kidney

Question 38

substernal

Answer 38

esophagus, heart, lung

Question 39

spine at T10

Answer 39

pancreas

Question 40

suprapubic

Answer 40

bladder

Question 41

occiput, forehead

Answer 41

eye

Question 42

temporal HA

Answer 42

TMJ