Xem 1-20 trên 215 kết quả Pain medicine
  • The field of Pain Medicine has evolved over the last 20 years to include an increasing array of sophisticated and technologically complex diagnostic and therapeutic procedures. Concurrent to this advancement has been the development of a battery of pharmacological options to treat pain, from extended-release formulations of analgesics to antidepressants and anticonvulsants designed to treat specific types of pain syndromes.

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  • A quick reference to the management of pain for specialists as well as general medical practitioners and residents. Written in a concise bulleted format, the content is limited to only the essential facts necessary for assessment and treatment of common pain conditions and presentations. A perfect review tool for both the anesthesia and pain medicine board exams.

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  • (BQ) Part 1 book "Atlas of functional anatomy for regional anesthesia and pain medicine human structure" presents the following contents: Ultrastructure of myelinated and unmyelinated axons, macrophages, mastocytes and plasma cells, ultrastructure of the endoneurium, ultrastructure of the endoneurium,...

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  • (BQ) Part 2 book "Atlas of functional anatomy for regional anesthesia and pain medicine human structure" presents the following contents: Ultrastructure of spinal dura mater, ultrastructure of the spinal arachnoid layer, three dimensional reconstruction of spinal dural sac, ultrastructure of spinal pia mater,...

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  • (BQ) Part 1 book "Essentials of pharmacology for anesthesia, pain medicine and critical care" presents the following contents: Pharmacokinetics and pharmacodynamics of anesthetics, principles of total intravenous anesthesia, perioperative considerations in pharmacology, anesthetic induction agents, benzodiazepines and muscle relaxants,...

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  • (BQ) Part 2 book "Essentials of pharmacology for anesthesia, pain medicine and critical care" presents the following contents: Histamine modulators, central nervous system stimulants, antiepileptic agents, chemotherapeutic agents, minerals and electrolytes, psychopharmacologic agents and psychiatric drug considerations,...

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  • Having cancer doesn’t mean that you’ll have pain. But if you do, you can manage most of your pain with medicine and other treatments. This booklet will show you how to work with your doctors, nurses, and others to find the best way to control your pain. It will discuss causes of pain, medicines, how to talk to your doctor, and other topics that may help you. Chapter 1 - People who have cancer don’t always have pain. Everyone is different. But if you do have cancer pain, you should know that you don’t have to accept it. Cancer pain can almost always be relieved....

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  • This concise volume, edited by two of today’s leading pain clinician-scientists, represents the culmination of several forces. First and foremost is the recognition that the knowledge and skills supporting current medical management of pain have grown sufficiently large that this field has become a discipline in its own right. Accordingly, candidates who meet the requirements of the American Board of Anesthesiology may now become board-certified in Pain Management and achieve diplomate status just as their colleagues in other areas have done for years.

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  • Harrison's Internal Medicine Chapter 16. Back and Neck Pain Back and Neck Pain: Introduction The importance of back and neck pain in our society is underscored by the following: (1) the cost of back pain in the United States is ~$100 billion annually, including direct health care expenses plus costs due to loss of productivity; (2) back symptoms are the most common cause of disability in those

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  • (BQ) Ebook 100 Cases in Acute Medicine presents 100 acute conditions commonly seen by medical students and junior doctors in the emergency department, or on the ward, or in the community setting. A succinct summary of the patient's history, examination, and initial investigations, including photographs where relevant, is followed by questions on the diagnosis and management of each case.


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  • Harrison's Internal Medicine Chapter 12. Pain: Pathophysiology and Management Pain: Pathophysiology and Management: Introduction The task of medicine is to preserve and restore health and to relieve suffering. Understanding pain is essential to both these goals. Because pain is universally understood as a signal of disease, it is the most common symptom that brings a patient to a physician's attention. The function of the pain sensory system is to protect the body and maintain homeostasis. It does this by detecting, localizing, and identifying tissue-damaging processes.

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  • The Dichotomy of Inpatient and Outpatient Internal Medicine The hospital environment has transformed dramatically over the past few decades. In more recent times, emergency departments and critical care units have evolved to identify and manage critically ill patients, allowing them to survive formerly fatal diseases. There is increasing pressure to reduce the length of stay in the hospital and to manage complex disorders in the outpatient setting.

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  • Treatment of Neuropathic Pain It is important to individualize treatment for patients with neuropathic pain. Several general principles should guide therapy: the first is to move quickly to provide relief; a second is to minimize drug side effects. For example, in patients with postherpetic neuralgia and significant cutaneous hypersensitivity, topical lidocaine (Lidoderm patches) can provide immediate relief without side effects. Anticonvulsants (gabapentin or pregabalin, see above) or antidepressants can be used as first-line drugs for patients with neuropathic pain.

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  • Local pain is caused by stretching of pain-sensitive structures that compress or irritate sensory nerve endings. The site of the pain is near the affected part of the back. Pain referred to the back may arise from abdominal or pelvic viscera. The pain is usually described as primarily abdominal or pelvic but is accompanied by back pain and usually unaffected by posture. The patient may occasionally complain of back pain only. Pain of spine origin may be located in the back or referred to the buttocks or legs. Diseases affecting the upper lumbar spine tend to refer pain to the lumbar...

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  • Medicine and dentistry are continuously evolving, due largely to the influences and interactions of new methods, technologies, and materials. Partly because of outdated testing requirements, our students can no longer adequately meet the increasing demands these changes have placed on a patient-oriented education.

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  • Sensitization When intense, repeated, or prolonged stimuli are applied to damaged or inflamed tissues, the threshold for activating primary afferent nociceptors is lowered and the frequency of firing is higher for all stimulus intensities. Inflammatory mediators such as bradykinin, nerve growth factor, some prostaglandins, and leukotrienes contribute to this process, which is called sensitization. In sensitized tissues, normally innocuous stimuli can produce pain. Sensitization is a clinically important process that contributes to tenderness, soreness, and hyperalgesia.

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  • Antidepressants, anticonvulsants, and antiarrhythmics have not been approved by the U.S. Food and Drug Administration (FDA) for the treatment of pain.bGabapentin in doses up to 1800 mg/d is FDA approved for postherpetic neuralgia.Note: 5-HT, serotonin; NE, norepinephrine.Since they are effective for these common types of pain and are available without prescription, COX inhibitors are by far the most commonly used analgesics. They are absorbed well from the gastrointestinal tract and, with occasional use, have only minimal side effects.

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  • Antidepressant Medications The tricyclic antidepressants [amitriptyline, imipramine, nortriptyline, desipramine (TCAs; Table 12-1)] are extremely useful for the management of patients with chronic pain. Although developed for the treatment of depression, the tricyclics have a spectrum of dose-related biologic activities that include the production of analgesia in a variety of clinical conditions. Although the mechanism is unknown, the analgesic effect of TCAs has a more rapid onset and occurs at a lower dose than is typically required for the treatment of depression.

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  • Central Mechanisms The Spinal Cord and Referred Pain The axons of primary afferent nociceptors enter the spinal cord via the dorsal root. They terminate in the dorsal horn of the spinal gray matter (Fig. 12-3). The terminals of primary afferent axons contact spinal neurons that transmit the pain signal to brain sites involved in pain perception. When primary afferents are activated by noxious stimuli, they release neurotransmitters from their terminals that excite the spinal cord neurons. The major neurotransmitter they release is glutamate, which rapidly excites dorsal horn neurons.

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  • Neoplasms (See also Chap. 374) Back pain is the most common neurologic symptom in patients with systemic cancer and may be the presenting symptom. The cause is usually vertebral metastases. Metastatic carcinoma (breast, lung, prostate, thyroid, kidney, gastrointestinal tract), multiple myeloma, and non-Hodgkin's and Hodgkin's lymphomas frequently involve the spine. Cancer-related back pain tends to be constant, dull, unrelieved by rest, and worse at night. By contrast, mechanical low back pain usually improves with rest.

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