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Questions and Answers
When should a person seek medical attention for back pain?
When should a person seek medical attention for back pain?
What is the main purpose of applying heat to an injury?
What is the main purpose of applying heat to an injury?
Which of the following is NOT a recommended method for preventing injury from sports or exercise?
Which of the following is NOT a recommended method for preventing injury from sports or exercise?
For what condition would a person use a topical NSAID for more than 7 days?
For what condition would a person use a topical NSAID for more than 7 days?
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What is the recommended duration for applying heat to an injury?
What is the recommended duration for applying heat to an injury?
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Which of the following is NOT a characteristic of pain?
Which of the following is NOT a characteristic of pain?
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What is the term used to describe the physiologic response to painful stimuli?
What is the term used to describe the physiologic response to painful stimuli?
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Which of the following types of pain is characterized by nerve damage?
Which of the following types of pain is characterized by nerve damage?
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Which of the following best describes the duration of subacute pain?
Which of the following best describes the duration of subacute pain?
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Which type of pain originates from the muscles, bones, or soft tissues?
Which type of pain originates from the muscles, bones, or soft tissues?
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Which of the following is NOT a musculoskeletal disorder mentioned in the text?
Which of the following is NOT a musculoskeletal disorder mentioned in the text?
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What is the main mechanism by which OTC pain relievers work?
What is the main mechanism by which OTC pain relievers work?
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Which of the following is an example of a musculoskeletal disorder?
Which of the following is an example of a musculoskeletal disorder?
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What is the maximum adult dose of acetaminophen per day?
What is the maximum adult dose of acetaminophen per day?
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Which of the following is NOT a contraindication for Transcutaneous Electrical Stimulation (TENS)?
Which of the following is NOT a contraindication for Transcutaneous Electrical Stimulation (TENS)?
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What is the usual adult dose of ibuprofen?
What is the usual adult dose of ibuprofen?
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Which of the following is NOT a topical OTC treatment option for pain relief?
Which of the following is NOT a topical OTC treatment option for pain relief?
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What is the mechanism of action of acetaminophen?
What is the mechanism of action of acetaminophen?
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Which of the following is a non-drug treatment option for pain relief mentioned in the text?
Which of the following is a non-drug treatment option for pain relief mentioned in the text?
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What is the onset of action for acetaminophen?
What is the onset of action for acetaminophen?
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Which of the following is NOT a potential side effect of NSAIDs?
Which of the following is NOT a potential side effect of NSAIDs?
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What is the duration of action for aspirin?
What is the duration of action for aspirin?
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Which topical NSAID is best for arthritis pain relief?
Which topical NSAID is best for arthritis pain relief?
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How many times per day should lidocaine be applied?
How many times per day should lidocaine be applied?
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What is the maximum duration of lidocaine use without medical follow-up?
What is the maximum duration of lidocaine use without medical follow-up?
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What is the primary mechanism of action for counterirritants?
What is the primary mechanism of action for counterirritants?
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Which of the following is NOT a prodrome symptom of a migraine headache?
Which of the following is NOT a prodrome symptom of a migraine headache?
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What is the approximate percentage of the global population that experiences migraines?
What is the approximate percentage of the global population that experiences migraines?
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What is a possible side effect of capsaicin?
What is a possible side effect of capsaicin?
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What is the primary benefit of trolamine salicylate compared to counterirritants?
What is the primary benefit of trolamine salicylate compared to counterirritants?
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Which of the following is a common treatment for sinus headaches?
Which of the following is a common treatment for sinus headaches?
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Which of the following is a possible aura symptom of a migraine?
Which of the following is a possible aura symptom of a migraine?
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According to the information provided, where should topical pain relievers not be applied?
According to the information provided, where should topical pain relievers not be applied?
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Which of the following is a common symptom associated with both aura and prodrome phases of a migraine?
Which of the following is a common symptom associated with both aura and prodrome phases of a migraine?
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What is the most common type of headache?
What is the most common type of headache?
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Which type of headache typically affects one side of the head?
Which type of headache typically affects one side of the head?
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Which of the following symptoms is NOT typically associated with a migraine headache?
Which of the following symptoms is NOT typically associated with a migraine headache?
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A person experiencing migraine headaches should avoid which of the following activities?
A person experiencing migraine headaches should avoid which of the following activities?
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Which of the following is NOT a potential benefit of caffeine consumption for headaches?
Which of the following is NOT a potential benefit of caffeine consumption for headaches?
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What is a potential negative consequence of regularly using caffeine for headaches?
What is a potential negative consequence of regularly using caffeine for headaches?
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Which of the following is a potential side effect of high doses of caffeine?
Which of the following is a potential side effect of high doses of caffeine?
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Which of the following statements about caffeine consumption for headaches is TRUE?
Which of the following statements about caffeine consumption for headaches is TRUE?
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According to the content provided, which of the following types of headache can be helped by caffeine?
According to the content provided, which of the following types of headache can be helped by caffeine?
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What is the recommended daily intake of caffeine for healthy adults?
What is the recommended daily intake of caffeine for healthy adults?
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Flashcards
Definition of Pain
Definition of Pain
Unpleasant sensory experience tied to tissue damage, subjective and complex.
Nociception
Nociception
Physiologic response to painful stimuli, crucial in pain perception.
Types of Pain
Types of Pain
Divided into acute, subacute, and chronic based on duration.
Acute Pain
Acute Pain
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Chronic Pain
Chronic Pain
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Nociceptive Pain
Nociceptive Pain
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Neuropathic Pain
Neuropathic Pain
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Pain Pathway
Pain Pathway
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Exclusions for self-care
Exclusions for self-care
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Pain lasting > 10 days
Pain lasting > 10 days
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RICE vs. MEAT therapy
RICE vs. MEAT therapy
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Heat therapy
Heat therapy
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Preventing sports injuries
Preventing sports injuries
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Aspirin Onset of Action
Aspirin Onset of Action
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Aspirin Duration of Action
Aspirin Duration of Action
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Diclofenac
Diclofenac
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Lidocaine
Lidocaine
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Counterirritants
Counterirritants
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Capsaicin
Capsaicin
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Trolamine Salicylate
Trolamine Salicylate
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Tension Headache
Tension Headache
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Migraine Headache
Migraine Headache
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Sinus Headache
Sinus Headache
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Migraine Prevalence
Migraine Prevalence
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Prodrome Symptoms
Prodrome Symptoms
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Aura Symptoms
Aura Symptoms
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Migraine Triggers
Migraine Triggers
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TENS (Transcutaneous Electrical Nerve Stimulation)
TENS (Transcutaneous Electrical Nerve Stimulation)
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TENS Contraindications
TENS Contraindications
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Acetaminophen (Tylenol)
Acetaminophen (Tylenol)
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Acetaminophen Dosage
Acetaminophen Dosage
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Ibuprofen
Ibuprofen
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Naproxen (Aleve)
Naproxen (Aleve)
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Topical Treatments
Topical Treatments
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Migraine Symptoms
Migraine Symptoms
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Caffeine Effects
Caffeine Effects
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Caffeine Dependence
Caffeine Dependence
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Withdrawal Symptoms
Withdrawal Symptoms
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Safe Caffeine Intake
Safe Caffeine Intake
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Headache Pain Types
Headache Pain Types
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Avoiding Migraine Triggers
Avoiding Migraine Triggers
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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.