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sensory/discriminative system for pain |
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Definition
processes information about strength, intensity, and temporal and spacial aspects of pain |
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motivational/affective system for pain |
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Definition
determines individual's approach/avoidance behaviors |
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cognitive/evaluative system |
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determines the individual's learned behavior concerning the experience of pain |
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pain with no physical cause |
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associated with condition immediately harmful to body |
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persistent (lasting 6 months) pain |
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point where stimulus is perceived as pain |
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duration of time or intensity of pain an individual will endure before initiating overt pain responses |
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sensory neurons (nociceptors) |
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Definition
found in the muscles, tendons, subcutaneous tissue (Pacinian corpuscles), and epidermis (Meissner corpuscles). Circulatory systems of abdominal, pelvic, and thoracic viscera |
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Definition
conversion of painful stimuli into action potential |
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movement along neurons to CNS |
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brain becomes aware of pain signals |
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Central nervous system (CNS) |
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Definition
involves limbic system, reticular formation, thalamus, hypothalamus, and cortex |
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Definition
responsible for modulation or inhibition of afferent pain signals fibers connect reticular formation, midbrain, and substantia gelantinosa impulses are then transmitted through spinal cord to the dorsal horn |
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Definition
superficial sharp and well localized or dull, aching, poorly localized |
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Definition
pain in internal organs, abdomen or skeleton poorly localized |
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pain in area removed or distant from point of origin |
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physiological responses with acute pain |
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Definition
increased heart rate and respiratory rate, elevated blood pressure, dilated pupils, diaphoresis, increased blood sugar, and decreased blood flow to viscera and skin |
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Term
psychologic and behavioral response with acute pain |
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Definition
fear, anxiety, sense of uneasiness |
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Definition
may be persistent or intermittent |
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physiological responses with chronic pain |
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Definition
intermittent pain produces response similar to acute persistent pain allows adaptation |
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psychologic and behavioral response with chronic pain |
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Definition
depression, difficulty sleeping, preoccupation with the pain |
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characterized by increased sensitivity and decreased pain threshold to tactile and painful stimuli may be result of chronic irritation of thalamus |
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2nd most common invovle injury to muscle and fascia pain result of muscle spasm, tenderness, and stiffness leads to muscle guarding limiting muscle motion |
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What's the most common chronic pain? |
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Definition
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condition resulting from infection or disease damaging peripheral or cranial nerve |
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Definition
causes severe buring pain after injury to the brachial plexus, median nerves, or sciatic nerves triggered by touch, sound, and cold |
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reflex sympathetic dystrophies |
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Definition
occur after peripheral nerve injury characterized by continuous severe, burning pain, vasospasms and vasomotor changes |
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Definition
loss of ability to identify source of pain on one side of body associated with stroke produces anxiety, moaning agitation, and distress |
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pain individual feels in amputated limb may be influences by emotions and sympathetic stimulation--> trigger points |
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loss through electromagnetic waves |
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Definition
heat loss through direct contact with cooler air or water |
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Definition
transfer of heat through currents of gases or liquids |
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Definition
diverts core-warmed blood to surface of body |
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Definition
low voluntary muscle activity |
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Definition
sweating may cause loss of 4 L per hour--use electrolytes too |
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Definition
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proper dress, slowing activity, stretching out |
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adaptation of warmer climates |
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Definition
adaptation resulting in earlier onset of sweating, increased sweat production, and decreased sodium content heart rate is decreased and stroke volume increased |
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Definition
marked warming of core temperature can produce nerve damage, coagulation of cell proteins, and death |
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Definition
severe, spasmodic cramps in the abdomen and extremities following prolonged sweating and sodium loss, fever, rapid pulse, elevated BP |
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result of prolonged high core or environmental temperatures result in excessive losses of salt and fluid from body weak, dizzy, nauseous, faint |
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a severe, life threatening condition resulting from prolonged exposure to heat regulatory center may cease to function resulting in stoppage of sweating, irritable, confused, stuporous, comatose core temp: 105 F |
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potentially lethal complication of inherited muscle disorder caused by increased calcium release or decreased calcium uptake with muscle contractions results in increased muscular contractio nand lactic acid production producing acidosis and increased temperature occurs most in children and young adults after induction with anesthesia |
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marked cooling of core temperature--vasoconstriction, alterations in microcirculation, coagulation and ischemic tissue damage **ice crystals can form inside cells |
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Definition
result of sudden immersion of cold water or prolonged exposure to cold environment |
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Definition
used to slow metabolism and preserve ischemic tissue during surgery or limb reimplantation |
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Definition
usually produces fever greater than 102 F |
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Definition
mild may produce slight elevation in core temperature moderate to severe result in decreased surface and core temperature |
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results in slight rise in core temperature triggers peripheral vasoconstriction |
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produce significant hypothermia |
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somewhat aware of surroundings feel relaxed and dreamy may jump or jerk |
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unaware of surroundings but awaken easily |
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unaware of surroundings but awaken easily (little bit deeper sleep) |
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What waves appear in EEG on Non-REM sleep Stage I? |
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Definition
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What waves appear in EEG on Non-REM sleep Stage II? |
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Definition
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What waves appear in EEG on Non-REM sleep Stage III? |
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Definition
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deeply asleep difficult to awaken exhibit little body movement decrease in heart rate, respiratory rate, and blood pressure |
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occurs about every 90 minutes |
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Definition
rapid eye movement present other muscle activity suppressed |
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Definition
rapid eye movement present muscle contraction and movement occur |
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Definition
disorders of initiating sleep inability to fall or stay asleep may result from pain, discomfort, depression, changes in presleep routine, or excessive REM-suppressant drugs |
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Disorders of excessive somnolence |
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Definition
excessive daytime sleepiness affects more men than women |
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Definition
involves extremely obesity and hypersomnia associated with periodic breathing |
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Hypersomnia sleep apnea (HSA) syndrome |
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Definition
result of upper airway obstruction occuring during sleep |
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sleep walking; disorder of childhood; occurs during stages III and IV |
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dream anxiety attacks; occur during stage IV; not associated with dream state |
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bedwetting most frequently occurs during non-REM sleep |
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inflammation of conjunctiva caused by bacteria, viruses, allergies, or chemical irritations may be classified as acute bacterial, viral, allergic, chronic, or trachoma |
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Definition
infection of cornea by bacteria and viruses |
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deviation of one eye from the other when person is looking at an object |
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Definition
involuntary unilateral or bilateral rhythmic movement of the eye may be pendular or jerk |
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paralyiss of extraocular muscles |
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Definition
may cause limited abduction, abnormal closure of eyelid, ptosis, and diplopia |
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Definition
reduction or dimness of vision |
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area of depressed vision in central field of vision |
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development of opacities of ocular lens |
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edema and inflammation of the optic nerve where it enters the eyeball |
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Definition
increased intraocular pressure causes loss of peripheral vision followed by central vision impairment and blindness three types: open angle, narrow angle, and acute angle closure |
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Term
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Definition
loss of accomodation lnes becomes larger, firmer, and less elastic |
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uneven bending of light rays on retina |
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defective vision in half a visual field |
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complete loss of vision in inner half of one eye and outer half of other |
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smelling odors that aren't really present |
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abnormal or perverted sense of smell |
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Definition
decrease in taste sensation |
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Definition
absense of taste sensation |
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perversion of taste substance possess unpleasant flavor |
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