Understanding Pain, Headache, and Fever
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Questions and Answers

When should a person seek medical attention for back pain?

  • If the pain lasts longer than 7 days.
  • If the pain is accompanied by nausea and vomiting.
  • If the pain is accompanied by fever.
  • If the pain is accompanied by loss of bowel and/or bladder control. (correct)
  • What is the main purpose of applying heat to an injury?

  • To increase blood flow and reduce muscle spasms. (correct)
  • To help with pain management.
  • To reduce inflammation.
  • To promote healing.
  • Which of the following is NOT a recommended method for preventing injury from sports or exercise?

  • Using appropriate footwear.
  • Taking NSAIDs before exercise. (correct)
  • Warming up with stretching.
  • Drinking plenty of water.
  • For what condition would a person use a topical NSAID for more than 7 days?

    <p>Arthritis pain. (B)</p> Signup and view all the answers

    What is the recommended duration for applying heat to an injury?

    <p>15-20 minutes, 3-4 times per day. (B)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of pain?

    <p>It is always accompanied by tissue damage. (C)</p> Signup and view all the answers

    What is the term used to describe the physiologic response to painful stimuli?

    <p>Nociception (C)</p> Signup and view all the answers

    Which of the following types of pain is characterized by nerve damage?

    <p>Neuropathic (C)</p> Signup and view all the answers

    Which of the following best describes the duration of subacute pain?

    <p>Between 4 weeks and 3 months (D)</p> Signup and view all the answers

    Which type of pain originates from the muscles, bones, or soft tissues?

    <p>Somatic (C)</p> Signup and view all the answers

    Which of the following is NOT a musculoskeletal disorder mentioned in the text?

    <p>Osteoporosis (A)</p> Signup and view all the answers

    What is the main mechanism by which OTC pain relievers work?

    <p>Inhibiting the transduction of pain signals (D)</p> Signup and view all the answers

    Which of the following is an example of a musculoskeletal disorder?

    <p>Myalgia (C)</p> Signup and view all the answers

    What is the maximum adult dose of acetaminophen per day?

    <p>3000 mg (C)</p> Signup and view all the answers

    Which of the following is NOT a contraindication for Transcutaneous Electrical Stimulation (TENS)?

    <p>History of migraines (B)</p> Signup and view all the answers

    What is the usual adult dose of ibuprofen?

    <p>200-400 mg every 6-8 hours (D)</p> Signup and view all the answers

    Which of the following is NOT a topical OTC treatment option for pain relief?

    <p>Acetaminophen (C)</p> Signup and view all the answers

    What is the mechanism of action of acetaminophen?

    <p>Blocking pain receptors in the brain (D)</p> Signup and view all the answers

    Which of the following is a non-drug treatment option for pain relief mentioned in the text?

    <p>Yoga (A)</p> Signup and view all the answers

    What is the onset of action for acetaminophen?

    <p>30 minutes (C)</p> Signup and view all the answers

    Which of the following is NOT a potential side effect of NSAIDs?

    <p>Liver damage (D)</p> Signup and view all the answers

    What is the duration of action for aspirin?

    <p>12 hours (D)</p> Signup and view all the answers

    Which topical NSAID is best for arthritis pain relief?

    <p>Diclofenac (Voltaren) (B)</p> Signup and view all the answers

    How many times per day should lidocaine be applied?

    <p>3 (A)</p> Signup and view all the answers

    What is the maximum duration of lidocaine use without medical follow-up?

    <p>7 days (C)</p> Signup and view all the answers

    What is the primary mechanism of action for counterirritants?

    <p>Providing a cooling sensation (D)</p> Signup and view all the answers

    Which of the following is NOT a prodrome symptom of a migraine headache?

    <p>Blurry vision (A)</p> Signup and view all the answers

    What is the approximate percentage of the global population that experiences migraines?

    <p>33% (D)</p> Signup and view all the answers

    What is a possible side effect of capsaicin?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the primary benefit of trolamine salicylate compared to counterirritants?

    <p>Less scent or local irritation (B)</p> Signup and view all the answers

    Which of the following is a common treatment for sinus headaches?

    <p>Decongestants (D)</p> Signup and view all the answers

    Which of the following is a possible aura symptom of a migraine?

    <p>Numbness or tingling in the face (C)</p> Signup and view all the answers

    According to the information provided, where should topical pain relievers not be applied?

    <p>Areas of irritation (A), Skin with open wounds (B)</p> Signup and view all the answers

    Which of the following is a common symptom associated with both aura and prodrome phases of a migraine?

    <p>Irritability (D)</p> Signup and view all the answers

    What is the most common type of headache?

    <p>Tension (B)</p> Signup and view all the answers

    Which type of headache typically affects one side of the head?

    <p>Migraine (D)</p> Signup and view all the answers

    Which of the following symptoms is NOT typically associated with a migraine headache?

    <p>Back pain (B)</p> Signup and view all the answers

    A person experiencing migraine headaches should avoid which of the following activities?

    <p>Exercising (C)</p> Signup and view all the answers

    Which of the following is NOT a potential benefit of caffeine consumption for headaches?

    <p>Improved blood flow to the brain (A)</p> Signup and view all the answers

    What is a potential negative consequence of regularly using caffeine for headaches?

    <p>Dependence on caffeine (A)</p> Signup and view all the answers

    Which of the following is a potential side effect of high doses of caffeine?

    <p>Anxiety and tremors (A)</p> Signup and view all the answers

    Which of the following statements about caffeine consumption for headaches is TRUE?

    <p>Caffeine can trigger migraines in some individuals. (B)</p> Signup and view all the answers

    According to the content provided, which of the following types of headache can be helped by caffeine?

    <p>Tension headaches (A)</p> Signup and view all the answers

    What is the recommended daily intake of caffeine for healthy adults?

    <p>200-400 mg (A)</p> Signup and view all the answers

    Flashcards

    Definition of Pain

    Unpleasant sensory experience tied to tissue damage, subjective and complex.

    Nociception

    Physiologic response to painful stimuli, crucial in pain perception.

    Types of Pain

    Divided into acute, subacute, and chronic based on duration.

    Acute Pain

    Pain lasting less than 4 weeks, often sudden.

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    Chronic Pain

    Pain lasting longer than 3 months, can be constant or intermittent.

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    Nociceptive Pain

    Pain due to tissue damage or inflammation, arises from somatic or visceral sources.

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    Neuropathic Pain

    Pain arising from nerve damage, more complex to treat.

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    Pain Pathway

    How pain signals are transmitted and how OTC pain relievers work.

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    Exclusions for self-care

    Circumstances under which self-care for pain is inappropriate.

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    Pain lasting > 10 days

    Pain that continues for more than 10 days should be evaluated by a healthcare professional.

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    RICE vs. MEAT therapy

    A method for treating injuries: RICE involves Rest, Ice, Compression, Elevation; MEAT includes Massage, Exercise, Analgesics, and Treatment.

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    Heat therapy

    Application of heat to ease muscle stiffness and improve blood circulation in conditions like osteoarthritis.

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    Preventing sports injuries

    Methods such as stretching, proper hydration, and suitable footwear to minimize exercise-related injuries.

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    Aspirin Onset of Action

    Effects begin within 30 minutes after consumption.

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    Aspirin Duration of Action

    Lasts for approximately 6-8 hours for pain relief.

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    Diclofenac

    A topical NSAID for arthritis pain relief.

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    Lidocaine

    A local anesthetic used for numbing mild pain.

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    Counterirritants

    Agents like menthol that create a cooling sensation to distract from pain.

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    Capsaicin

    Derived from chili peppers, causes a burning sensation; used for pain relief.

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    Trolamine Salicylate

    Topical analgesic with anti-inflammatory effects, related to aspirin.

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    Tension Headache

    Most common headache type, caused by stress, often mild to moderate.

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    Migraine Headache

    Severe headache with throbbing pain, often on one side.

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    Sinus Headache

    Pressure pain in the face, linked with sinus symptoms.

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    Migraine Prevalence

    Migraine is the 2nd leading cause of disability globally, affecting ~1/3 of people.

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    Prodrome Symptoms

    Physiological changes occurring 1-2 days before a migraine attack, such as irritability and fatigue.

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    Aura Symptoms

    Sensory disturbances occurring 5-60 minutes before a migraine, including visual or motor issues.

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    Migraine Triggers

    Factors that can provoke migraine attacks, including stress, food, and lack of sleep.

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    TENS (Transcutaneous Electrical Nerve Stimulation)

    Low-voltage electrical currents to stimulate nerve fibers and activate opioid receptors.

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    TENS Contraindications

    Conditions where TENS should not be used, such as pacemakers or broken skin.

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    Acetaminophen (Tylenol)

    An analgesic and antipyretic that blocks pain receptors in the brain.

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    Acetaminophen Dosage

    Usual adult dosage: 325-1000 mg every 4-6 hours; max 3000 mg daily.

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    Ibuprofen

    An NSAID that acts as an analgesic and antipyretic, with renal elimination.

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    Naproxen (Aleve)

    An NSAID similar to ibuprofen but with a longer duration and different dosing.

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    Topical Treatments

    Pain relief medications applied directly to the skin, such as lidocaine and diclofenac.

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    Migraine Symptoms

    Common symptoms of migraines include nausea, sensitivity to light or sound, dizziness, and blurred vision.

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    Caffeine Effects

    Caffeine can enhance the absorption of pain relievers, narrow blood vessels, and interfere with pain signaling.

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    Caffeine Dependence

    Regular caffeine use may lead to dependence and withdrawal symptoms when stopping abruptly.

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    Withdrawal Symptoms

    Stopping caffeine can cause blood vessels to enlarge, resulting in headaches, anxiety, and tremors.

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    Safe Caffeine Intake

    200-400 mg of caffeine per day is generally safe for healthy adults, but individual tolerance may vary.

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    Headache Pain Types

    Migraine pain is often throbbing and may be accompanied by other symptoms like nausea or light sensitivity.

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    Avoiding Migraine Triggers

    Common triggers for migraines include stress, certain foods, and changes in sleep patterns.

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    Study Notes

    Pain, Headache, and Fever

    • Pain is an unpleasant sensory and emotional experience, associated with actual or potential tissue damage. It's subjective and complex.
    • Nociception refers to the physiological response to painful stimuli.
    • Over-the-counter (OTC) pain relievers often work by inhibiting or blocking the transduction of pain signals.
    • Pain is classified as acute (<4 weeks), subacute (4 weeks to 3 months), and chronic (>3 months).
    • Pain can be classified as nociceptive (tissue damage/inflammation) or neuropathic (nerve damage). Furthermore, pain can be somatic (originating from muscles, bones, or soft tissues) or visceral (originating from internal organs and blood vessels).
    • Examples of musculoskeletal disorders include myalgia, tendonitis, bursitis, sprains, strains, and osteoarthritis.
    • Self-care for pain, headache, or fever is not appropriate in various situations, including severe pain lasting longer than 6 days, pain lasting more than 10 days, pain that persists more than 7 days after treatment, increased pain intensity or changes in characteristic, pelvic or abdominal pain unrelated to menstruation, pregnancy, nausea, vomiting, fever or other signs of infection. Children under 2 years of age and those with loss of bowel or bladder control are also excluded.
    • Non-drug treatments include RICE (rest, ice, compression, elevate), massage, analgesics, heat therapy (heating pads, hot water bottles), and transcutaneous electrical stimulation (TENS). Additional options include yoga and tai chi.

    OTC Treatment Options

    • Oral: Acetaminophen (Tylenol), Naproxen (Aleve), and Ibuprofen (Motrin).
    • Topical: Diclofenac (Voltaren), Lidocaine, counterirritants (menthol, camphor, methyl salicylate), Capsaicin, Trolamine salicylate.

    Acetaminophen (Tylenol)

    • Analgesic and antipyretic (reduces fever).
    • Blocks pain receptors in the brain.
    • Metabolized extensively by the liver.
    • Safe for use in pregnancy and infancy.

    Acetaminophen Toxicity

    • Metabolite (NAPQI) can damage the liver.

    NSAIDs (Ibuprofen & Naproxen)

    • Analgesic and antipyretic.
    • Eliminated by the kidneys.
    • Associated with ulcers.
    • Avoid in cardiovascular disease and hypertension.
    • Aspirin also a part of NSAIDs family.

    Diclofenac (Voltaren)

    • Topical NSAID.
    • Suitable for arthritis pain, especially in the elbow, wrist, hand, foot, and ankle.
    • Apply 2-4 grams (upper or lower body) four times daily.
    • Do not apply to more than two areas simultaneously.

    Lidocaine

    • Local anesthetic (numbs areas).
    • May help with mild neuropathic or muscle pain.
    • Apply topically every 6–8 hours: maximum three times daily.
    • Maximum usage of seven days before medical follow-up.

    Counterirritants

    • Menthol, camphor, methyl salicylate.
    • Cooling sensation for pain relief.
    • Apply 3-4 times daily in a 7-day time frame.
    • May cause skin burns at higher concentrations.
    • Camphor is toxic if ingested by children.

    Capsaicin

    • Derived from chili peppers.
    • Causes a burning or heating sensation.
    • Applied 3–4 times daily for up to seven days for arthritis or nerve pain relief.
    • Consider using gloves during application to avoid contact with eyes, and other sensitive areas.
    • Possible side effects: skin burning, cough, runny nose.

    Trolamine Salicylate

    • May have an anti-inflammatory effect.
    • Similar to aspirin.
    • Less scent and local irritation compared to other counterirritants.
    • Apply 3–4 times daily up to a period of 7 days.

    Topical Pain Relievers Summary

    • Do not apply on irritated, wounded or open skin.
    • Stop application if pain, swelling or blistering develops.
    • Do not tightly bandage areas where topical pain relievers are applied.
    • Do not apply heat to areas where topical pain relievers are applied.
    • Avoid contact with eyes, the inside of the nose or mouth, and genitals.

    Headaches

    • Tension headache: Most common type; diffuse aching, pressing, or constricting; can be episodic or chronic (persists more than 15 days per month over 3+ months); Triggers include eye strain, stress, anxiety and insomnia; often bilateral.
    • Sinus headache: Pain behind the eyes or forehead; often associated with sinus infection or allergies; can be accompanied by other symptoms; often accompanied by sinus symptoms or congestion.
    • Migraine headache: Throbbing, pulsating, often unilateral pain; may start with an aura (visual disturbances); often severe and debilitating; may be accompanied by nausea, vomiting, sensitivity to light or sound, and/or blurred vision; Can be episodic or chronic (persists over 15 days a month or more).

    Caffeine

    • 200-400 mg per day generally safe for non-pregnant adults.
    • Increases pain reliever absorption.
    • Narrows blood vessels in the brain.
    • Interferes with pain signaling.
    • Regular use can lead to dependence.
    • Stopping abruptly can worsen symptoms.

    Medication Overuse Headaches

    • Frequent use (more than twice a week) of pain relievers may cause headaches.
    • Prevention involves avoiding overuse.
    • Treatment includes discontinuing the offending agent, and consulting a medical provider, if necessary.

    Fever

    • Temporarily elevated body temperature.
    • Often a sign of infection (e.g., virus, bacteria).
    • Usually not a direct cause of major concern.

    Fever Symptoms

    • Includes symptoms such as sweating, chills, headache, muscle aches, loss of appetite, irritability, dehydration, and general weakness.

    Fever Treatment (Non-medication)

    • Rest
    • Stay cool (dress in light clothing and sleep with only a sheet)
    • Drink plenty of fluids (water is preferred).

    OTC Fever Treatment

    • Medication options are dependent on patient.
    • Consult a healthcare provider regarding treatment or referral based on patient or child's specific circumstances.

    Thermometer Types

    • Temporal (forehead), Tympanic (ear), Rectal, Oral (under the tongue), Axillary (armpit)
    • Each type has varying degrees of accuracy and indications for use.

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    Description

    This quiz covers the essential aspects of pain, headaches, and fever, highlighting their definitions, classifications, and treatments. Explore crucial topics such as nociception, types of pain, and the role of over-the-counter medications in pain management. Test your knowledge on conditions related to musculoskeletal disorders and self-care recommendations.

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