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7853738
Leila has pain in her arm
Descrição
Mapa Mental sobre Leila has pain in her arm, criado por Salma Mk em 25-02-2017.
Mapa Mental por
Salma Mk
, atualizado more than 1 year ago
Mais
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Criado por
Salma Mk
mais de 7 anos atrás
54
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0
Resumo de Recurso
Leila has pain in her arm
Pain
subjective perception
by nociceptors
unimodal
polymodal
silent
conscious awareness of actual or potential damage
can be affected
cognition
fear of pain
depression
behaviour
belief
attitude
biological
localisation of pain
cutaneous
deep somatic
visceral
psyhogenic
types of pain
fast (acute)
by mechanical or thermal damage
a (delta) pain fibers
2-30 m/s
neospinothalamic tract
slow (chronic)
C pain fibers
0.5-2 m/s
paleospinothalamic tract
chemical damage
Dermatomes
distribution of sensory nerve fibres
areas of skin supplied by a spinal nerve
Leila's rash was spread on a single dermatome
types of rashes and progression
macule
papule
vesicle
pustule
a vesicular rash
Peripheral neuropathies
caused by virus or bacteria
virus
rabies
polio
HSV
VZV
Chicken pox
rash begins on head and torso then spreads to extremeties
IP=10-21 days
pearl on rose petal
course of infection- 7-10 days
blister pops in 1-2 days and it turns into a crusty scab in 2-3 days
Shingles
VZV produces LATS that remains dormant in sensory neurons
reactivated decades after it
Stress
immunocomprimised people
from prodrome to postherpetic
prodrome
fever
malaise
headache
accompanied with postherpetic neuralgia
severe pain
VZV attacks axons and destroys them
treatment
acyclovir
decreases viral load by inhibiting DNA polymerase
VARIZIG
Varicells Zoster Immunoglobulin
indicated to immunocomprimised people
VARIVAX
live attenuated VZV
contraindicated in iCPs
bacteria
mycobacterium leprae
borrelia borgderferi
Pain Management
Pharmacotherapy
NSAIDs
antiviral
HSV
OPIOIDS
substance the binds to opiate receptors on afferent pain fibres
preventing pain signal transmission
endogenous
dysnorphins
endorphins
enkelphins
exogenous
morphine
Psychotherapy
relaxation therapy
family therapy
mind-body therapies
Alternative therapy
acupuncture
chiropractic therapy
diet changes
ANATOMY of the forearm
anterior compartment of forearm
posterior compartment
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