Podcast
Questions and Answers
What is the primary risk factor for elderly women regarding falls?
What is the primary risk factor for elderly women regarding falls?
- Osteoporosis (correct)
- Impaired vision
- Dehydration
- Lack of exercise
Which of the following defines a sprain?
Which of the following defines a sprain?
- A muscle injury caused by overuse
- Inflammation of a bursa
- Injury to a muscle resulting in swelling
- A sudden twist or wrench of a joint causing ligament damage (correct)
What should a pharmacist do if a patient presents with spontaneous bruising?
What should a pharmacist do if a patient presents with spontaneous bruising?
- Consider possible underlying conditions (correct)
- Advise the patient to rest and apply ice
- Rule out common minor injuries
- Suggest over-the-counter pain relief
What is the main treatment approach for sprains and strains?
What is the main treatment approach for sprains and strains?
Which of the following is NOT a characteristic of bursitis?
Which of the following is NOT a characteristic of bursitis?
What common condition involves a stiff and painful shoulder?
What common condition involves a stiff and painful shoulder?
What is a potential consequence of muscle pain after strenuous activity?
What is a potential consequence of muscle pain after strenuous activity?
What is the preferred initial action when dealing with head injury pain?
What is the preferred initial action when dealing with head injury pain?
What is a potential effect of high doses of codeine?
What is a potential effect of high doses of codeine?
What is the primary role of glucosamine sulphate in relation to cartilage?
What is the primary role of glucosamine sulphate in relation to cartilage?
Why should products containing caffeine be avoided near bedtime?
Why should products containing caffeine be avoided near bedtime?
What is one reason for the high placebo response to topical analgesic products?
What is one reason for the high placebo response to topical analgesic products?
Which of the following components is NOT part of the RICE acronym for treating sprains and strains?
Which of the following components is NOT part of the RICE acronym for treating sprains and strains?
What is the main aim of applying compression immediately after a soft tissue injury?
What is the main aim of applying compression immediately after a soft tissue injury?
What sensation does menthol produce when applied as a topical analgesic?
What sensation does menthol produce when applied as a topical analgesic?
What is a potential risk associated with using Capsaicin preparations?
What is a potential risk associated with using Capsaicin preparations?
When is it appropriate to apply heat to an injured area?
When is it appropriate to apply heat to an injured area?
Which of the following topical agents should be used with caution in patients with asthma?
Which of the following topical agents should be used with caution in patients with asthma?
Which of the following actions should be taken if intense irritation occurs after using a topical analgesic?
Which of the following actions should be taken if intense irritation occurs after using a topical analgesic?
What role does good posture play in preventing recurrent back pain?
What role does good posture play in preventing recurrent back pain?
Heparinoid and hyaluronidase are primarily used to treat which condition?
Heparinoid and hyaluronidase are primarily used to treat which condition?
Which of the following is NOT a common component of topical analgesics?
Which of the following is NOT a common component of topical analgesics?
What is a beneficial effect of heat application after the acute phase of an injury?
What is a beneficial effect of heat application after the acute phase of an injury?
Which measure is NOT recommended to maintain a safe use of topical analgesics?
Which measure is NOT recommended to maintain a safe use of topical analgesics?
What is the internationally accepted measure for obesity?
What is the internationally accepted measure for obesity?
Which BMI value classifies an individual as obese?
Which BMI value classifies an individual as obese?
What effect can a weight loss of 5 to 10 kg have on diabetes-related mortality?
What effect can a weight loss of 5 to 10 kg have on diabetes-related mortality?
Which type of medication is primarily recommended for musculoskeletal pain?
Which type of medication is primarily recommended for musculoskeletal pain?
Which medical conditions can potentially lead to weight gain?
Which medical conditions can potentially lead to weight gain?
What is an important consideration when prescribing pain medication to elderly patients?
What is an important consideration when prescribing pain medication to elderly patients?
What is the recommended use for orlistat 60 mg capsules?
What is the recommended use for orlistat 60 mg capsules?
What should a pharmacist inquire about if an elderly patient reports falls?
What should a pharmacist inquire about if an elderly patient reports falls?
Which medication requires adjustment of doses if a patient loses weight?
Which medication requires adjustment of doses if a patient loses weight?
When should a patient experiencing pain return to their doctor?
When should a patient experiencing pain return to their doctor?
What is the primary action of paracetamol?
What is the primary action of paracetamol?
What is the effect on blood pressure from a weight loss of 5 to 10 kg?
What is the effect on blood pressure from a weight loss of 5 to 10 kg?
What is a primary contributor to obesity for most individuals?
What is a primary contributor to obesity for most individuals?
Which of the following conditions typically requires a referral back to the doctor?
Which of the following conditions typically requires a referral back to the doctor?
What type of self-treatment should be evaluated for effectiveness?
What type of self-treatment should be evaluated for effectiveness?
Which of the following is considered a possible adverse effect from medication in elderly patients?
Which of the following is considered a possible adverse effect from medication in elderly patients?
What is the common characteristic of shoulder pain in older patients?
What is the common characteristic of shoulder pain in older patients?
What should be considered if NSAIDs fail to alleviate shoulder pain after 5 days?
What should be considered if NSAIDs fail to alleviate shoulder pain after 5 days?
Which symptom is NOT typically associated with joint pain caused by arthritis?
Which symptom is NOT typically associated with joint pain caused by arthritis?
What is a common cause of lower back pain after physical activities such as gardening?
What is a common cause of lower back pain after physical activities such as gardening?
What should a patient do if lower back pain is more severe and radiates down the legs?
What should a patient do if lower back pain is more severe and radiates down the legs?
What is a notable feature of repetitive strain disorder?
What is a notable feature of repetitive strain disorder?
Which symptom might suggest a kidney problem when experiencing back pain in the loin area?
Which symptom might suggest a kidney problem when experiencing back pain in the loin area?
What is NOT recommended for simple low back pain management?
What is NOT recommended for simple low back pain management?
Flashcards
Sprains
Sprains
A sudden twist or wrench of a joint, stretching or twisting ligaments, sometimes with tearing.
Strains
Strains
Injury to a muscle, often from overuse, resulting in swelling and pain.
Elderly fracture risk
Elderly fracture risk
Falls in elderly people are more likely to cause fractures, especially in women due to osteoporosis. Referral to a doctor is recommended.
Muscle pain cause
Muscle pain cause
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Bruising and underlying issues
Bruising and underlying issues
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Head injury caution
Head injury caution
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Bursitis
Bursitis
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Frozen Shoulder
Frozen Shoulder
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Shoulder pain (older adults)
Shoulder pain (older adults)
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Joint pain (arthralgia)
Joint pain (arthralgia)
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Low back pain (muscle strain)
Low back pain (muscle strain)
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Sciatica
Sciatica
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Back pain (middle/upper)
Back pain (middle/upper)
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Kidney pain (back)
Kidney pain (back)
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Repetitive strain disorder (RSD)
Repetitive strain disorder (RSD)
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RSD symptoms
RSD symptoms
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Prescribed medication for pain
Prescribed medication for pain
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Adverse effects of medication
Adverse effects of medication
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Referral to doctor needed
Referral to doctor needed
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Self-medication
Self-medication
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Medication failure
Medication failure
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Treatment timescale for musculoskeletal conditions
Treatment timescale for musculoskeletal conditions
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Topical analgesic
Topical analgesic
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Paracetamol
Paracetamol
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Codeine's Side Effect
Codeine's Side Effect
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Caffeine in Analgesics
Caffeine in Analgesics
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Topical Analgesic Placebo
Topical Analgesic Placebo
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Counterirritants' Action
Counterirritants' Action
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Methyl Salicylate's Use
Methyl Salicylate's Use
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Menthol's Dual Effect
Menthol's Dual Effect
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Capsaicin's Effect
Capsaicin's Effect
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Topical NSAIDs and Aspirin Sensitivity
Topical NSAIDs and Aspirin Sensitivity
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Glucosamine and Chondroitin for OA
Glucosamine and Chondroitin for OA
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RICE for Sprains and Strains
RICE for Sprains and Strains
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Heat for Injuries: When?
Heat for Injuries: When?
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Good Posture for Back Pain
Good Posture for Back Pain
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Topical Analgesics: Careful!
Topical Analgesics: Careful!
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Sprains: Rest and RICE
Sprains: Rest and RICE
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Strains: Overuse Injuries
Strains: Overuse Injuries
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Preventative Measures: Back Pain
Preventative Measures: Back Pain
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Obesity epidemic
Obesity epidemic
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BMI (Body Mass Index)
BMI (Body Mass Index)
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Overweight vs. Obesity
Overweight vs. Obesity
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Obesity Causes
Obesity Causes
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Medical conditions causing weight gain
Medical conditions causing weight gain
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Weight loss benefits
Weight loss benefits
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Orlistat for Weight Loss
Orlistat for Weight Loss
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Orlistat Contraindications
Orlistat Contraindications
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Study Notes
Musculoskeletal Problems
- Pharmacists often advise on muscular injuries, sprains, and strains. OTC treatments can be helpful.
- Age: Falls are more likely to cause fractures in the elderly, especially for women with osteoporosis. Referral to a doctor is advised.
- Symptoms/History: Injuries often occur during falls, physical activity (lifting, sports), or trauma. The pharmacist needs detailed information about how the injury happened.
Sprains and Strains
- Tendons connect muscle to bone, while ligaments connect bone to bone.
- Sprains: Sudden twisting or wrenching of a joint, stretching or tearing ligaments.
- Strains: Muscle injury, often from overuse, causing swelling and pain.
- Early mobilization, strengthening, and coordinating exercises are crucial for recovery. A gradual return to full activity is important.
Muscle Pain
- Muscle stiffness and pain can arise from strenuous activities like gardening or exercise.
- OTC medicines can help reduce discomfort.
Bruising
- Bruising (Plate 40) is common after injury. Bruising without apparent injury could suggest a serious condition. This warrants pharmacist attention.
- Conditions like thrombocytopenia or leukemia can cause spontaneous bruising. Drug reactions can also cause bruising.
Head Injury
- Head pain warrants suspicion and referral for further investigation, particularly in children.
Bursitis
- Bursae reduce friction during joint movement.
- Joint swelling and pain are common symptoms.
Frozen Shoulder
- Stiff and painful shoulder is prevalent in older patients.
- Pain may radiate to the arm, often worse at night.
Joint Pain (Arthralgia)
- Joint pain could stem from arthritis, a common cause with numerous origins.
- Symptoms might include swelling, inflammation, stiffness, limited movement, or deformity.
- Referral to a doctor is needed for proper diagnosis and treatment.
Back Pain
- Causes often include muscle or soft tissue strain (e.g. ligaments, tendons).
- Mild back pain after activities like gardening, heavy lifting, or bending is often manageable through pharmacist advice.
- Severe pain radiating from the back down one or both legs may indicate sciatica.
- Referral to the doctor for severe or persistent back pain is necessary.
- Kidney pain in the loin area, pain upon urination, or altered urine color suggests kidney concerns and requires medical evaluation.
Medications and Treatment
- General Treatment Timescale: Musculoskeletal conditions typically respond within a few days. Maximum 5 days treatment, then see a doctor.
- Caution: Orlistat, ibuprofen, and other NSAIDs shouldn't be used in certain circumstances, including pregnancy, certain medical conditions, or allergies.
- Side Effects: Falls, adverse reactions, indigestion, bleeding issues, and other side effects can occur with various treatments. The individual should be cautious.
- Self medicating: Always consult a pharmacist regarding self treatment procedures.
Head Injury
Pain from head injury warrants suspicion and referral to a doctor, especially in children.
Further Treatment
- Ice, compression, elevation (RICE) can reduce swelling.
- OTC analgesics (ibuprofen, paracetamol, aspirin) are common treatments.
- Heat therapy can reduce pain when used properly (delayed use after immediate injury).
- Medications should be used as directed and side effects should be monitored.
- Physical therapy can help with recovery.
Other Related Topics
- Repetitive Strain Disorder: Prolonged repetitive hand motions can lead to chronic upper limb pain syndrome.
- Paracetamol: Analgesic and antipyretic, but not anti-inflammatory; safe for those who can't use aspirin; caution against high doses.
- Aspirin: More irritating to the stomach, not suitable for children under 16 or those with peptic ulcers and bleeding histories; requires caution for allergies.
- Codeine and Dihydrocodeine: Narcotic analgesics; possible side effects include constipation and drowsiness.
- Caffeine: found in some combination pain relief products. Not recommended around bedtime due to stimulant effects.
- Topical Analgesics: like methyl salicylate or menthol, can relieve local pain.
- Heparinoid-Hyaluronidase: reduce swelling; used in bruises, sprains, and strains.
- Glucosamine and Chondroitin: potential benefits in treating osteoarthritis (OA) symptoms.
Weight Loss and BMI
- Obesity is a major health concern, particularly in developed countries.
- BMI (body mass index) is the internationally accepted measure of obesity.
- BMI over 25 is considered overweight, 30 is obese.
- Factors contributing to weight gain include imbalance between energy intake and output, genetics, underlying medical conditions and certain medications.
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