PT 728 Pain types and patterns

what are the 4 vital signs

- BP

- HR

- RR

- Temperature

what is the 5th vital sign

pain

what are the most common sites of referred pain from a systematic disease process

- chest

- back

- shoulder

- scapula

- pelvis

- hip

- groin

- SI joint

what is visceral pain

pain from an internal organ

where do viscerosensensory fibers run

ascend from the anterolateral system to the thalamus with fibers projecting to the brain

where is pain typically referred to

the site where the organ is located in fetal developement

______ have multisegmental innervations

viscera

discribe visceral-organ cross-sensitization

- referred visceral pain to somatic tissues based on overlapping or same segmental projections of spinal afferent neurons to the spinal dorsal horn

_____ is when ganglions from each neural system gathering and sharing information through the cord to the plexuses where the response is decided

direct pressure and shared pathways

anything that impinges the central diaphragm can refere pain to

the shoulder (L)

anything that impinges the peripheral diagphragm can refer pain to the

ipsilateral costal margins and/or lumbar regions

what are the characteristics of pain

- location

- description of sensation

- intensity

- duration

- frequency

- pattern/source

_______pain is superficial somatic structures located in the skin and subcutaneous tissue

cutaneous

what are characteristics of viscerogenic pain

- gradual, progressive and cyclical pain patterns

- constant pain

- intervention does not help

- bone pain and aspirin

- pain does not fit expected pattern

____ pain is sharp and more localized

superficial somatic

_____ pain is dull, deep ache that responds to rest or non weight bearing

deep somatic

_____ pain is dull and achy but does not feel better after rest

visceral

what is neuropathic pain described as

- sharp, shooting, burning tingling, or electic shock sensation

_____ is pain felt in an area far from site of the lesion but supplied by the same or adjacent neural segments

referred pain

how does referred pain occur

- by shared central pathways for afferent neurons and can originate from any somatic or visceral source

what are the types of pain

- tension

- inflammatory

- ischemic

- myofascial

- joint pain

_________ occurs with prolonged muscular contraction or cocontraction resulting in local ischemia, increased cellular metabolites, and subsequent pain

muscle tension

what are the symtpoms of rhabdomyosis

- blood in urine

- decreased urine output

- fever and chills

- tachycardia

- nausea and vomting

- confusion

__________ occurs when connective tissues change that bring small amounts of fibrinogen that leak from vasculature into intracellular spaces, adhering to cellular structure

muscular stiffness due to deficiency

what is an active trigger point

pain at rest, pain with touch, and refers pain

what is a latent trigger point

- pain with touch, refers, and no pain at rest