Opioid Wisely!
Contents With respect to Curriculum 2020 - 2.1.26, 3.2.6, 3.4.9, 3.4.12 Mechanism of action of opioids Details of specific opioids...
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robinapark
Feb 11, 20213 min read
Tricyclic antidepressants (TCA's). Need to know.
Interesting history - They were introduced in diabetic neuropathy around 30 years ago - It has been shown repeatedly that these work not...
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robinapark
Feb 11, 20212 min read
Post operative acute pain
Acute pain is 7 days Subacute pain is 7-90 days Chronic pain is 90 days+ Factors that negatively affect postoperative pain intensity...
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robinapark
Feb 10, 20211 min read
Tapentadol
- Synthetic phenylpropylamine opioid - Has weak mu-receptor activity and inhibits reuptake of noradrenaline - Noradrenaline effects...
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robinapark
Feb 10, 20211 min read
Buprenorphine
Details: - Semi-synthetic - Partial mu-receptor agonist - Kappa-opioid ANTAgonist and agonist at opioid-receptor-like receptors (ORL-1) -...
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robinapark
Feb 9, 202110 min read
Mechanisms in the biomedical dimensions of pain (3.1.1 - 3.1.15)
3.1.1 Describe in detail the ICD-11 taxonomy of chronic pain Chronic pain is PERSISTENT or RECURRENT pain for at least 3 months Chronic...
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robinapark
Feb 4, 20211 min read
Prescribing rules and legal frameworks
4. (2006) What are the principles underlying the prescription of breakthrough analgesia in different clinical settings?
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robinapark
Feb 4, 20212 min read
Lignocaine
Questions 1. Write short notes on the pharmacology and side effects of local anaesthetic agents. Attempted by 20 candidates PASS RATE 95...
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robinapark
Feb 1, 20211 min read
Epidural steroid injections
It is the most commonly utilized intervention for managing chronic and acute lower back pain These injections may benefit patients with...
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robinapark
Feb 1, 20211 min read
Spinal cord stimulation
https://www.practicalpainmanagement.com/meeting-summary/debate-scs-better-pns-back-pain
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robinapark
Jan 31, 20214 min read
Fibromyalgia
Diagnostic criteria: 2016 Fibromyalgia Diagnostic Criteria 1. Widespread pain index (WPI) and symptom severity score (SSS) - WPI≥7 and...
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robinapark
Jan 31, 20213 min read
Pain management in Psych conditions
Personality Disorders: DSM-5 = 'an enduring pattern of inner experience and behaviour that deviates markedly from the expectations of the...
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robinapark
Jan 31, 20211 min read
Osteoarthritis - hand/knee/hip/foot
https://www.practicalpainmanagement.com/pain/myofascial/osteoarthritis/guideline-update-acr-promotes-pharmacologic-treatment-osteoarthritis
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robinapark
Jan 31, 20213 min read
Problematic pharmacology/drug use
Essential readings: Verma A, St Clair EW, Radtke RA. A case of sustained massive gabapentin overdose without serious side effects....
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robinapark
Jan 31, 20214 min read
Lower back pain
Definition LBP is defined as pain or discomfort below the costal margin and above the inferior gluteal folds, with or without referred...
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robinapark
Jan 31, 20211 min read
Acute pain management
General understanding statements: Seperation between acute pain and a chronic pain is an arbitrary one Better to think of it as 'acute...
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robinapark
Jan 31, 20211 min read
Theory of pain - Refresher
Gate theory Define wind up Role of NMDA receptor in sensitisation Somatosensory cortex Glial cells role in sensitisation Give 5 key...
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robinapark
Jan 31, 20211 min read
Complex widespread pain
Essential readings: Cohen, M, Quintner, J, Buchanan, D, Nielsen, A, Guy, L. 2011. ‘Stigmatization of patients with chronic pain: the...
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robinapark
Jan 30, 20212 min read
Headache. Need to know.
When a patient has more than 15 days a month of headache for at least 3 months, they are considered to have chronic headache. It can be...
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