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Pain
Overviewofpain
Pain+fearcloselyinterrelated Painoftenassociatedwithillness/trauma Feargenerallythoughtofinrelationtooncomingpain/outcomeofdamage Oftenhelpfultoencouragept.toexpresspainsandfears Expressionbeingsprocessofadjustmenttopain+acceptanceofemergencymedicalcare
1.1
HistoryofPain
Obtainfullaspossiblehistoryfrompt. Asktheflowingquestions:OPQRST Onset Whendidthepainstart/begin? Provokes Whatprovokesthepain? E.g.wasthept.exercising? Quality Whatisthequalityofpain? Crushing/stabling/dull/sharp/burning/throbbingfeelslikesomeoneissittingon theirchest Radiation/Radiating Isthepainradiating? i.e.tothejaw,arms,abdomen,back Severity Howseveristhepain? Scaleof110?10beingtheworsethept.haseverfelt Time Howlonghasthepainlasted? 1hour Andisthepainconstantordoesitcomeandgoandforhowlong
TypesofPain Focalpain
o Paininsingleplace(fractures/inflammation)
Diffusepain
o Painingeneralareanotspecific(MI/internalbleeding)
Radiatingpain
o PainradiatestoanotherareaAMI
1/2
Module12
Pain
1.3 1.3.1
TypesofAbdominalPain Visceralpain
Resultfromstretchonautonomicnervefibresthatsurroundabdominalviscera Distensionofholloworgans Crampy/dull/gassy Tendstobepoorlylocalizedcomeandgoes
1.3.2
Somaticpain
Resultsfromnervefibresinperitoneumirritatedbyinflammation Sharppain Tendstobeconstant+provokedbycoughingorjarringmotion
1.3.3
Referredpain
Anypaininlocationdistantfromdiseasesorgan E.g.irritationofdiaphragm o Resultinneckandshoulderpain NOTALLABDOMINALPAINISFROMABDOMINALCAUSES
2/2