Leila has a pain in the arm

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Mind Map on Leila has a pain in the arm, created by Dana Alobadily on 09/03/2017.
Dana Alobadily
Mind Map by Dana Alobadily, updated more than 1 year ago
Dana Alobadily
Created by Dana Alobadily over 7 years ago
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Resource summary

Leila has a pain in the arm
  1. pain
    1. physiology of pain
      1. nociceptor
      2. pain suppression system
        1. The capability of the brain itself to suppress input of pain signals to the nervous system by activating a pain control system 3 major components: 1) The periaqueductal gray and periventricular areas of the mesencephalon and upper pons. (2) the raphe magnus nucleus. (3) a pain inhibitory complex located in the dorsal horns of the spinal cord.
        2. factors modifying perception of pain
          1. -biological: sex, genetics & number of nociceptors. -psychological: fear of pain, depression, emotional stress.-social components: Person’s beliefs, attitudes or expectations.
          2. Dermatomes
            1. management
              1. pharmacological
                1. NSAIDS
                  1. MoA: Inhibit cyclooxygenase enzymes
                  2. OPIODS
                    1. Antiviral Drugs: Acyclovir
                    2. non-pharmacological
                      1. -Transcutaneous Nerve Stimulation (TENS) -Cognitive and behavioral therapy -Heat and cold –REST- Physical and occupational therapy -Psychotherapy -Lifestyle changes
                    3. peripheral neuropathy
                      1. nerves of the PNS have been damaged because of 1-herpes viruses:VSZ , 2-Bacteria, 3-Autoimmune
                        1. varicella zoster virus that cause "shingles"
                          1. mechanism of spread
                            1. signs & symptoms
                              1. Pain, burning, numbness or tingling -Sensitivity to touch.- A red rash that begins a few days after the pain -Fluid-filled blisters that break open and crust over Itching Fever -Headache.- Sensitivity to light .-Fatigue
                              2. clinical diagnosis
                                1. complications
                                  1. -Allodynia.- Hyperalgesia.- Constant / intermittent burning, aching, throbbing, stabbing or shooting pain
                                  2. vaccination
                                2. Alternative Treatments
                                  1. Mind- body therapies-acupuncture
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