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21 Cards in this Set
- Front
- Back
Ventrolateral system with 3 parts
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pain (1st pain, 2nd pain), temperature, and crude touch
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Dysesthesia
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abnormal response to a somatic stimulus; unpleasantness
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Paresthesia
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sponatneous sensation,
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Algesia
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painful sensation
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Analgesia
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absence of pain
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Hypalgesia
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reduction in painful response to a painful stimulus
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Hyperalgesia
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increased painful response to a painful stimulus
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Allodynia
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painful response to a normally innocuous stimulus
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Sensory receptors for ventrolateral system
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mechanoreceptors, bare nerve endings
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nociceptors (bare nerve endings not associated with nonneural specialization)
high threshold mechanoreceptor |
part of A delta axon and signals first pain
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Polymodal nociceptor
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responds to several modalities of intense stimuli (mechanical, heat, and irritant chemical) , associated with C sensory neurons and signal second pain
respond to protons (acid), algesic substances released during intense stimulation like bradykinin, histamine, prostaglandins and 5HT |
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polymodal nociceptor originally called
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capsaicin receptor because it responded to capsaicin in chili peppers that induces sensation of heat, ion channel that allows Ca2+ to enter
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Capsaicin receptors respond directly to
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heat, protons, and capsaicin of chili peppers
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capsaicin receptors respond indirectly to
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G proteins, algesic substances like bradykinin and prostaglandins
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new name for capsaicin receptor
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TRPV1 which are part of TRP family (transient receptor potential protein)
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fast pain and thermal sense is conducted via
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small myelinated axons; A delta fibers
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slow pain and some thermal sense is conducted via
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unmyelinated C axons
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Fast pain pathway
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from spinal cord to thalamus --> ventroposterolateral nucleus = neospinothalamic pathway
from thalamus to cortex --> post central gyrus allows us to localize and discriminate painful stimuli |
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Slow pain pathway
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from spinal cord to thalamus --> intralaminar nuclei in the thalamus = paleospinothalamic pathway
from thalamus to cortex --> cortical areas activated : ss1, ss2, anterior cingulate gyrus, and insular cortex |
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spinoreticular pathway: 3 components with 3 functions
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activates descending pain control pathway (periaqueductal gray of midbrain); to produce arousal of cortex areas (reticular activating system); to provide back up activation of nociceptive areas of thalamus
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opiods and opioid receptors are concentrated in the
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periaqueductal gray and dorsal horn
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