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Patho Ch 4

TermDefinition
Afferent fibers fibers that convey impulses to a ganglion or to a nerve center in the brain or spinal cord
analgesic a substance that relieves pain
bradykinin a chemical mediator released during inflammation that causes vasodilation
cordotomy surgical division of the anterolateral tracts of the spinal cord
dermatome an area of skin innervated by a specific spinal nerve
efferent moving away from the center
endogenous originating from within the body
histamine a chemical released from mast cells and basophils during an immune reaction; causes vasodilation and bronchoconstriction
intractable resistant to treatment; pain that cannot be relieved by drugs
ischemia a decreased blood supply to an organ or tissue
neurotransmitter a chemical released upon stimulation from vesicles at the end of the axon of a neuron, in order to stimulate a receptor site
nociceptors receptors for pain stimuli
opoids a natural or synthetic substance that binds to opiod receptors in the central nervous system, relieving pain; related to opiod derivatives such as morphine or codeine
parenterally the injection of substances into the body
prostaglandin a group of chemical messengers in the body that can exert a variety of effects, such as vasodilation, muscle contraction and inflammation
reticular activating system RAS cells of the reticular formation of the medulla oblongata that control the overall degree of central nervous system activity, including wakefulness, attentiveness, and sleep
reticular formation a network of neurons in the brainstem involved in consciousness, breathing, and the transmission of sensory stimuli to higher brain centers.
rhizotomy division or transection of a nerve root, either within the spinal canal or outside it.
sedatives a substance that exerts a calming effect on a person
substance P substance present in nerve tissue that causes vasodilatation and seems to be a sensory neurotransmitter involving pain, touch, and temperature.
tachycardia excessively rapid heart beat
endorphins morphine-like substances produced in the body that block pain stimuli at sites in the brain and spinal cord
pain unpleasant sensation or feeling of discomfort
phantom pain pain perceived in a lost limb
acute pain pain that is usually sudden and severe and indicates tissue damage
chronic pain long term pain that is usually more difficult to treat and prognosis is less certain. Often more difficult to discern the exact location.
headache common type of pain that has many categories and is associated with many different causes
central pain pain caused by dysfunction or damage to the brain or spinal cord
neuropathic pain pain caused by trauma or disease involving the peripheral nerves
ischemic pain pain resulting from profound, sudden loss of blood flow to an organ or specific tissues
cancer related pain chronic and increasing pain associated with advancement of the disease or its treatment
local anesthesia medication injected or applied topically to the skin or mucous membranes to block pain from a specific area
general anesthesia inhaled gas or injected medication that results in a loss or consciousness
spinal anesthetic local anesthetic administered in the epideral space or CSF to block pain from nerves or abdomen
neuroleptanesthesia type of general anesthesia in which patient can respond to commands but is unaware of the procedure or discomfort
pain caused by infection, tissue ischemia, tissue necrosis, stretching of tissues, chemicals or burns
phantom pain Caused by loss of a limb
acute pain usually caused by tissue damage
chronic pain unresolved tissue damage from different causes
headache caused by congested sinuses, eye strain, muscle spasms, TMJ or abnormal blood flow or brain metabolism
central pain caused by dysfunction or damage in the brain or spinal cord
neuropathic pain caused by trauma or disease involving the peripheral nerves
ischemic pain profound or sudden loss of blood flow to an organ or tissues in a specific area
cancer related pain caused by damage from the cancer or cancer treatments
local anesthesia caused by anesthetic injected or applied to the skin or mucous membranes
general anesthesia caused by inhaled gas IV injection of barbituatuates or proprofol
spinal anesthetic caused by injecting anesthetic into the epidural space or CSF
neuroleptanesthesia caused by injecting a type of general anesthetic in which the patient can respond to commands but is unaware of the procedure or the discomfort
pain symptoms include pallor, sweating, increased blood pressure, tachycardia, nausea, vomiting, anxiety, fear, clenched fists, rigid faces, constant motion or guarding
phantom pain symptoms include, itching, tingling or pain in a lost limb
acute pain symptoms include pain with stress response, increased blood pressure, heart rate, cool pale moist skin, increased respiratory rate, increased muscle tension, emotional responses, transmitted along fast A delta myelinated nerves
chronic pain symptoms include perceived as more generalized without an exact location sleep disturbances, weight loss or gain. transmitted along slow unmyelinated C fibers
central pain symptoms include persistent pain that can be localized or may involve a large area of the body
neuropathic pain symptoms may include pain described as tingling, burning or a severe shooting pain in an area that has no physical damage
ischemic pain symptoms include pain that may be aching, burning, pricking or a strong shooting pain from an area of decreased blood flow
cancer related pain symptoms include a chronic pain that tends to increase with the advancement of the disease
local anesthesia symptoms include pain that is blocked in a specific, small area
general anesthesia symptoms include loss of consciousness
spinal anesthesia symptoms include blockage of nerve conduction at or below the level of the spine into which it was injected
neuroleptanesthesia symptoms include a patient that can respond to commands but is unaware of the procedure or discomfort
Created by: boringjen
 

 



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