Term
| What disease can mimic angina exactly |
|
Definition
|
|
Term
| What number cause of absenteeism at work is functional abdominal pain? |
|
Definition
|
|
Term
| What are the most likely underlying mechanisms responsible for functional abdominal pain |
|
Definition
Dysmotility(changes in tone/spasticity) causing distention->Pain
Visceral Hyperalgesia/Hypervigilence
|
|
|
Term
| Why is functional abdomenal pain less likely to be diagnosed and treated? |
|
Definition
Inadequate understanding of the disease
Insensitive Testing
Pathophysiology unknown |
|
|
Term
| What are some areas to address in treating a patient with abdominal pain with a holistic approach |
|
Definition
Legitimize
Educate
Address Psychiatric |
|
|
Term
| Why are abdominal symptoms distribution often misleading to the cause of the pain |
|
Definition
Large Visceral Fields
Overlapping Visceral fields
Localize only when the mesentary is involved
Poor signal quality
Only C-fiber
Multivisceral imput
Bilateral imput
More sparse toward anus
No viscerotrophism |
|
|
Term
| What are the only areas of the GI that exhibit visceral trophism? |
|
Definition
|
|
Term
| Area of the brain responsible for the visceral response to stress? |
|
Definition
|
|
Term
| What are some ways the GI pain signals are modified? |
|
Definition
Locus Cerulius
Referred Pain
Gate Theory
Adaptation
Reflex(local modulation) |
|
|
Term
How do Visceral and Somatic Pain perception differ in:
Dorsal horn laminae
Receptor type
Fiber Typer
Extent of Innervation |
|
Definition
Dorsal Horn:
visceral-I,V
somatic-II,IV,V
Receptors:
visceral-free nerve
somatic-polymodal
Fiber Type:
visceral-C fiber
somatic-A-delta, some C
Extent of Innervation:
visceral-scant
somatic-dense |
|
|
Term
| What are the transmitters used for visceral afferents in the spinal afferents and the vagus afferents(nodose ganglion)? |
|
Definition
Vagus: Ach
Spinal: Ach, Substance P, CGRP |
|
|
