tag:blogger.com,1999:blog-14922538088243417952011-07-07T17:15:51.564-07:00Medical Tidbits.RabiaFLhttp://www.blogger.com/profile/12929466617975886434noreply@blogger.comBlogger11100tag:blogger.com,1999:blog-1492253808824341795.post-38333184945697627052010-10-01T18:19:00.000-07:002010-10-01T18:36:51.250-07:00<div style="font: 12.0px Helvetica; margin: 0.0px 0.0px 0.0px 0.0px;"><span style="letter-spacing: 0px;"><u>Jermyn R, Janora D, Surve S. <span class="Apple-style-span" style="color: red;">Assessment and Classfication of Pain in the Elderly Patient.</span> Clinical Geriatrics. Sept 2010. Volume 18. Number 8. Pp 16-22.</u></span></div><div style="font: 12.0px Helvetica; margin: 0.0px 0.0px 0.0px 0.0px; min-height: 14.0px;"><span style="letter-spacing: 0px;"></span></div><div style="font: 12.0px Helvetica; margin: 0.0px 0.0px 0.0px 0.0px;"><span style="letter-spacing: 0px;">Key Points-</span></div><div style="font: 12.0px Helvetica; margin: 0.0px 0.0px 0.0px 0.0px; min-height: 14.0px;"><span style="letter-spacing: 0px;"></span></div><div style="font: 12.0px Helvetica; margin: 0.0px 0.0px 0.0px 0.0px;"><span style="letter-spacing: 0px;"><b>Nociceptive Pain</b>- pain fibers stimulated by tissue damage. Outside of neurologic structures. arthritis, fracture pain, back pain, strains, sprains, ligament tears.</span></div><div style="font: 12.0px Helvetica; margin: 0.0px 0.0px 0.0px 0.0px; min-height: 14.0px;"><span style="letter-spacing: 0px;"></span></div><div style="font: 12.0px Helvetica; margin: 0.0px 0.0px 0.0px 0.0px;"><span style="letter-spacing: 0px;"><b>Neuropathic Pain</b>- pain arises from damage or lesion in nervous system. traced to specific nerve injury. post herpetic neuralgia., thalamic stroke syndrome, fibromyalgia, diabetic polyneuropathy, sciatica. worse at night.&nbsp;</span></div><div style="font: 12.0px Helvetica; margin: 0.0px 0.0px 0.0px 0.0px;"><span style="letter-spacing: 0px;"><br /></span></div><div style="font: 12.0px Helvetica; margin: 0.0px 0.0px 0.0px 0.0px;"><span style="letter-spacing: 0px;">brain is unable to dampen pain stimulus coming from peripheral or central <span class="Apple-tab-span" style="white-space: pre;"> </span>nervous system. increase in substance P and glutamate at dorsal horn of spinal <span class="Apple-tab-span" style="white-space: pre;"> </span>cord.&nbsp;</span></div><div style="font: 12.0px Helvetica; margin: 0.0px 0.0px 0.0px 0.0px; min-height: 14.0px;"><br /></div><div style="font: 12.0px Helvetica; margin: 0.0px 0.0px 0.0px 0.0px; min-height: 14.0px;"><span style="letter-spacing: 0px;"></span></div><div style="font: 12.0px Helvetica; margin: 0.0px 0.0px 0.0px 0.0px;"><span style="letter-spacing: 0px;"><b>Mixed nociceptive-neuropathic Pain</b>- spinal stenosis causing neurogenic claudication. (back feels better with flexion.) cervical spinal stenosis. piriformis syndrome, cancer pain.&nbsp;</span></div><div style="font: 12.0px Helvetica; margin: 0.0px 0.0px 0.0px 0.0px; min-height: 14.0px;"><span style="letter-spacing: 0px;"></span></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1492253808824341795-3833318494569762705?l=rabiafl.blogspot.com' alt='' /></div>RabiaFLhttp://www.blogger.com/profile/12929466617975886434noreply@blogger.com0