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1. Cutaneous 2. Somatic 3. Visceral 4. Neuropathic 5. Referred |
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Definition
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bone, nerve, muscle, arteries, joints, spongy or cancellous bone, periosteum, tendon, ligament |
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Definition
internal organs, heart muscle |
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Definition
-poorly localized -the few nociceptors sense stretch and O2 deprivation |
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Definition
Damage or changes to Peripheral NS or Central NS |
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referred pain, what is it generally? |
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Definition
Pain felt in an area away from the site of the lesion |
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Definition
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Somatic- somatic referred pain example |
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Definition
Bruise muscle on thigh causes knee pain |
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Somato-viscero referred pain example |
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Definition
10th rib poking into gall bladder |
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Viscero-somatic referred pain example |
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Definition
gall bladder pain felt as tenth rib pain |
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Viscero-viscero referred pain example |
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Definition
Kidney sends pain to liver |
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right neck pain can be referred from... |
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Definition
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left neck pain may be referred from... |
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Definition
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left chest and left arm pain may be referred from.... |
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Definition
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right thorax/abdomen pain may be referred from... |
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left upper abdomen pain may be referred from... |
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Definition
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right lower abdomen pain may be referred from ... |
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Definition
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left lower abdomen pain may be referred from.... |
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Definition
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left anterior inguinal area pain may be referred from... |
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Definition
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low back pain may be referred from (in women) |
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Definition
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pain in your intergluteal cleft may be referred from... |
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Definition
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Mechanisms of Referred Visceral Pain |
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Definition
-Embryologic development -Multisegmental innervation -Direct pressure and shared pathways |
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Embryologic Development theory regarding referred pain |
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Definition
pain is sent to where organ was located in embryological development despite its migration |
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Multisegmental Innervation theory regarding referred pain |
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Definition
-Visceral organs have multiple levels of innervation -Innervation levels overlap with somatic structures -Visceral pain is referred to the corresponding somatic area |
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Vascular disorders pain will be described as |
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Definition
throbbing, pounding, pulsating |
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Neurologic disorders pain will be described as |
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Definition
sharp, lancinating, shocking, burning |
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Visceral disorders pain will be described as |
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Definition
aching, squeezing, gnawing, burning, cramping |
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Term
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Definition
physical expression of unconscious psychological conflict -Motor or sensory loss not explained by medical disorder |
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McGill Pain Questionnaire helps with what> |
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Definition
differentiate causes pain -Vascular (visceral) -Somatic (neurogenic and musculoskeletal) -Emotional ( psychosomatic) |
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Symptom Magnification -definition |
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Definition
A self-destructive, socially reinforced behavioral response pattern consisting of reports or displays of symptoms which control the life of the sufferer |
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Symptom Magnification -types |
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Definition
Conscious- Malingering Unconscious- Illness behavior |
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Term
systemic VS. MSK pain onset |
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Definition
Systemic: recent/sudden, or progressing over years MSK: >sudden (overload, trauma) >gradual (chronic overload, on/off for years) |
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Systemic VS. MSK pain description |
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Definition
Systemic: stabbing, throbbing, bone pain, unilateral OR bilateral
MSK: unilateral, rest lowers pain level and causes stiffness, achy, crampy, local tenderness |
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Systemic VS. MSK pain intensity |
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Definition
SYSTEMIC: unrelated to anxiety MSK: may be related to anxiety about the seriousness of the condition
(both can be mild-severe) |
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Systemic Vs. MSK pain duration |
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Definition
SYSTEMIC: constant, awakens the person at night MSK: pain changes with position, more intermittent |
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Systemic VS MSK pain pattern |
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Definition
SYSTEMIC: night pain, shortness of breath, eating alters symptoms, sitting up relieves symptoms, pain is constant, migratory pattern
MSK:restriction of movement, and one or more particular movements aggravate |
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Systemic VS MSK pain aggravators |
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Definition
Systemic: can't be altered with positions, except if organ dependent (eating, exertion, stress) MSK: altered by movement/positions, certain movement "catches" |
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systemic VS MSK pain relievers |
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Definition
SYSTEMIC: constant, with exception of some organ-specific positional relief
MSK: relief with rest, position change, |
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leaning to the affected side |
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sitting upright or leaning forward |
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cold, exertion, stress, heavy meal |
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