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Leila has pain in her arm

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Mind Map on Leila has pain in her arm, created by Salma Mk on 25/02/2017.
Salma Mk
Mind Map by Salma Mk, updated more than 1 year ago
Salma Mk
Created by Salma Mk over 7 years ago
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Resource summary

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