Week 3 Part 2 Flashcards
What is the implications of Hyperalgesia?
Tissue damage
Adaptive Change in nociceptors “amplification”
What is the implication of Allodynia?
Damage to the nervous system
Pathophysiological change in sensory coding “switching”
Primary Hyperalgesia
At the site of injury
Secondary Hyperalgesia
More distant site
What happens in the distal oesophagus?
Sensitisation of proximal site to acid
What is referred Hyperalgesia?
Felt at a site distant from the site of origin
More pronounced in subcutaneous tissue than in skin
Related to duration and intensity of episodes of visceral pain
What are examples of central sensitisation?
Allodynia
Hyperalgesia
Secondary Hyperalgesia
Referred Hyperalgesia
What is example of peripheral sensitisation?
Hyperalgesia
Secondary Hyperalgesia
Sensitisation of the dorsal neurons
What is normal sensitive - normal threshold of pain?
30-40ml of Mercury
Hypersensitive patients
15/20ml of Mercury
What is peripheral sensitisation?
Increased sensitivity to an afferent nerve stimuli
Occurs after there has been an injury or cell damage to area and produce a flare response to nociceptors producing lots of neuropeptides
What are the different types of mediators?
Tissue (epithelial and stromal for support)
Blood supply
Immune cells
What are examples of classical mediators ?
Bradykinin Prostaglandin ATP/Adenosine 5-HT Histamine
What are examples of immune mediators?
Cytokines
Chemokines
Processes
Protease activated receptors