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Pathology FINAL Pain Types and Viscerogenic Pain Patterns
Pain Types and Viscerogenic Pain Patterns
45
Pathology
Graduate
10/08/2016

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Term
Sources of Pain (5)
Definition
1. Cutaneous
2. Somatic
3. Visceral
4. Neuropathic
5. Referred
Term
cutaneous pain receptors
Definition
Nociceptors in skin
Term
Somatic pain source
Definition
bone, nerve, muscle, arteries, joints, spongy or cancellous bone, periosteum, tendon, ligament
Term
visceral pain source
Definition
internal organs, heart muscle
Term
Visceral Pain:
character
Definition
-poorly localized
-the few nociceptors sense stretch and O2 deprivation
Term
Neuropathic Pain sources
Definition
Damage or changes to Peripheral NS or Central NS
Term
referred pain, what is it generally?
Definition
Pain felt in an area away from the site of the lesion
Term
Sources of referred pain
Definition
cutaneous, soma, viscera
Term
Somatic- somatic referred pain example
Definition
Bruise muscle on thigh causes knee pain
Term
Somato-viscero referred pain example
Definition
10th rib poking into gall bladder
Term
Viscero-somatic referred pain example
Definition
gall bladder pain felt as tenth rib pain
Term
Viscero-viscero referred pain example
Definition
Kidney sends pain to liver
Term
right neck pain can be referred from...
Definition
liver
Term
left neck pain may be referred from...
Definition
lung
Term
left chest and left arm pain may be referred from....
Definition
Heart
Term
right thorax/abdomen pain may be referred from...
Definition
gallbladder
Term
left upper abdomen pain may be referred from...
Definition
stomach
Term
right lower abdomen pain may be referred from ...
Definition
appendix
Term
left lower abdomen pain may be referred from....
Definition
kidney
Term
left anterior inguinal area pain may be referred from...
Definition
ureter
Term
low back pain may be referred from (in women)
Definition
uterus or cervix
Term
pain in your intergluteal cleft may be referred from...
Definition
rectum and trigone
Term
Mechanisms of Referred Visceral Pain
Definition
-Embryologic development
-Multisegmental innervation
-Direct pressure and shared pathways
Term
Embryologic Development theory regarding referred pain
Definition
pain is sent to where organ was located in embryological development despite its migration
Term
Multisegmental Innervation theory regarding referred pain
Definition
-Visceral organs have multiple levels of innervation
-Innervation levels overlap with somatic structures
-Visceral pain is referred to the corresponding somatic area
Term
Vascular disorders pain will be described as
Definition
throbbing, pounding, pulsating
Term
Neurologic disorders pain will be described as
Definition
sharp, lancinating, shocking, burning
Term
Visceral disorders pain will be described as
Definition
aching, squeezing, gnawing, burning, cramping
Term
Conversion Disorder
Definition
physical expression of unconscious psychological conflict
-Motor or sensory loss not explained by medical disorder
Term
McGill Pain Questionnaire
helps with what>
Definition
differentiate causes pain
-Vascular (visceral)
-Somatic (neurogenic and musculoskeletal)
-Emotional ( psychosomatic)
Term
Symptom Magnification
-definition
Definition
A self-destructive, socially reinforced behavioral response pattern consisting of reports or displays of symptoms which control the life of the sufferer
Term
Symptom Magnification
-types
Definition
Conscious- Malingering
Unconscious- Illness behavior
Term
systemic VS. MSK pain onset
Definition
Systemic: recent/sudden, or progressing over years
MSK:
>sudden (overload, trauma)
>gradual (chronic overload, on/off for years)
Term
Systemic VS. MSK pain description
Definition
Systemic: stabbing, throbbing, bone pain, unilateral OR bilateral

MSK: unilateral, rest lowers pain level and causes stiffness, achy, crampy, local tenderness
Term
Systemic VS. MSK pain intensity
Definition
SYSTEMIC: unrelated to anxiety
MSK: may be related to anxiety about the seriousness of the condition

(both can be mild-severe)
Term
Systemic Vs. MSK pain duration
Definition
SYSTEMIC: constant, awakens the person at night
MSK: pain changes with position, more intermittent
Term
Systemic VS MSK pain pattern
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
Term
Systemic VS MSK pain aggravators
Definition
Systemic: can't be altered with positions, except if organ dependent (eating, exertion, stress) MSK: altered by movement/positions, certain movement "catches"
Term
systemic VS MSK pain relievers
Definition
SYSTEMIC: constant, with exception of some organ-specific positional relief

MSK: relief with rest, position change,
Term
gallbladder pain relief
Definition
leaning forward
Term
kidney pain relief
Definition
leaning to the affected side
Term
pancreas pain relief
Definition
sitting upright or leaning forward
Term
Esophagus aggravators
Definition
eating and swallowing
Term
Heart aggravators
Definition
cold, exertion, stress, heavy meal
Term
GI aggravators
Definition
eating,
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