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Pain (series: what do i do now) What Do I Do Now Series

Langue : Anglais

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Couverture de l’ouvrage Pain (series: what do i do now)
Patients with pain disorders pose many clinical challenges for the attending physician. Even experienced clinicians occasionally arrive at the point where diagnostic, work-up, treatment, or prognostic thinking becomes blocked. Pain teaches the reader to recognize and appropriately treat a variety of pain disorders using a case study format. Divided into three section, chronic pain conditions, chronic pain and related disorders, and treatment overview, and derived from consultation requests from providers in medical practice, the cases are written in a format that encourages the reader to formulate a differential diagnosis and treatment plan for a variety of pain problems. Succinct in its presentation and logical in its layout, Pain is the perfect resource for the busy practitioner on the go.
SECTION I CHRONIC PAIN CONDITIONS. 1. Complex Regional Pain Syndrome. Commonly over diagnosed, CRPS has little especial association with the Autonomic Nervous System, does not involve Dystrophy, and has no known Reflex associated with it. Type 1 is the classical Reflex Sympathetic Dystrophy differing from Type 2- Causalgia, only in that Type 2 involves injury to a major nerve.. 2. Peripheral Neuropathy. The debilitating pain of peripheral neuropathy can be difficult to treat and relies on pain management and treatment of the underlying pathology. This chapter reviews the causes, sign and symptoms, diagnostic criteria and treatment options available for these patients.. 3. Post-Herpetic Neuralgia. Post-herpetic neuralgia is a devastating and painful consequence of shingles (herpes zoster) and is most common in the elderly and the immunocompromised. Medications are the mainstay of treatment, however caution should be used in the elderly secondary to side effects.. 4. Post-Stroke Central Pain. 5. Multiple Sclerosis Related Pain. 6. Radiculopathy. Probably the most common cause of neuropathic pain, lumbar and cervical radiculopathy are frequently encountered clinical entities while thoracic is more rare. These syndromes may involve an anatomical abnormality and can be gratifying to both diagnose and treat, but a nonanatomical abnormality syndrome is equally as common and presents more of a diagnostic and therapeutic dilemma or even conundrum.. 7. Brachial Plexus Injury. 8. Superficial Radial Nerve Injury. This small sensory nerve can be a cause of excruciating pain when injured iatrogenically. Diagnosis can be confusing and treatment a challenge.. 9. Post-Thoracotomy Pain Syndrome (Acute and Chronic Pain). 10. Dental Pain. Branches of the Trigeminal Nerve are not infrequently injured during routine dental procedures and can produce symptoms similar to Tic Douloureux. Proper anatomical localization and an understanding of the mechanism of injury can be important considerations in selecting treatment approaches or determining prognosis.. 11. Trigeminal Neuralgia and Atypical Facial Pain. Trigeminal neuralgia is a debilitating disease that affects a subset of patients. This chapter focuses on the epidemiology, diagnostic criteria and management of patients. Special considerations to the elderly population who are at higher risk of developing side effects from treatment.. 12. Phantom Pain. 13. Spinal Cord Injury Pain. Injury to the spinal cord can occur via trauma, infection, ischemia, toxicity, tumor, radiation, disease or other causes. The pattern of pain may still be changing years or even decades after injury. The level of pain and disability may be very high and effective treatment options may be illusory.. 14. Ramsey Hunt Syndrome (Geniculate Neuralgia). 15. Supraorbital Neuralgia. Supraorbital neuralgia is pain in the distribution of the supraorbital nerve that is often caused by a provoking stimulus, such as goggles or helmets. However, other causes should be excluded with history, physical exam and neuroimaging studies.. 16. Glossopharngeal Neuralgia. Glossopharyngeal neuralgia (ninth cranial nerve) presents with severe, brief, stabbing, recurrent pain in the back of the throat and tongue, the tonsils, and part of the ear. Secondary causes must be excluded and treatment focuses on polypharmacy.. 17. Arachnoiditis. The debilitating pain of arachnoiditis can be difficult to treat and progressive. This chapter reviews the caus
Tabitha A. Washington, MD, MS Associate Pain Fellowship Program Director, Pain Medicine Department of Anesthesiology Dartmouth Hitchcock Medical Center Assistant Professor of Anesthesiology Dartmouth Medical School Lebanon, NH Khalilah M. Brown, MD, MPH Fellow Pain Medicine Department of Anesthesiology Dartmouth Hitchcock Medical Center Lebanon, NH Gilbert J. Fanciullo, MD, MS Director, Section of Pain Medicine Department of Anesthesiology Dartmouth Hitchcock Medical Center Professor of Anesthesiology Dartmouth Medical School Lebanon, NH

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Ouvrage de 224 p.

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