By Paul M. Camic (auth.), Paul M. Camic Ph.D., Frederick D. Brown M.D. (eds.)
Assessing power Pain deals a distinct method of the review and overview of therapy for continual discomfort sufferers. instead of adhering to the standards of anyone discipline's method of treating continual discomfort, no matter if that of anesthesia, actual remedy, psychiatry or psychology, the editors review a variety of disciplines, and concentrate on the mixing of these methods to accomplish what they time period a "handbook", instead of a textbook, for the evaluation of continual ache from a multidisciplinary standpoint. concerns confronting clinicians were compounded via procedural difficulties and overview indecision, yet in Assessing continual Pain, Drs. Camic and Brown create a framework to lead experts in all fields in forthcoming the sufferer struggling with persistent, non-malignant pain.
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Extra info for Assessing Chronic Pain: A Multidisciplinary Clinic Handbook
Infusion techniques using CT or MRI may aid in the differentiation of recurrent disc herniation from postoperative scarring in the spinal canal. Because of the noninvasive nature of these tests, and the minimal toxicity associated with the more recently introduced con· trast agents, one should not hesitate to radiologically evaluate any chronic pain problem in which a structural lesion is at all suspected. The resolution and sensitivity of MRI is such that it has become the screening evaluation of choice for suspected cases of multiple sclerosis or small subcortical infarctions.
Therefore, lesions at the cervical and upper thoracic levels of the canal are likely to alter vasomotor activity and sweating. Horner's syndrome (ptosis, miosis, and anhydrosis) may occur on the same side of the lesion at or above the TI segment. The presence of Horner's syndrome may also indicate a lesion of the sym pathetic fibers as they ascend cranially with the carotid artery. The cauda equina syndrome results from lesions within the spinal canal located below the level of the first lumbar vertebra.
Like the olfactory nerve, it is not truly a peripheral nerve, but rather an extension of the optic tract. The examination of the optic nerve should include a measure of visual acuity, visual fields, and funduscopic appearance. When abnor· mal, the visual field examination in particular is quite localizing; a homo· nymous hemianopia indicates disease posterior to the optic chiasm, whereas a bitemporal or binasal hemianopia indicates an anterior lesion. The presence of a Marcus·Gunn pupil (a paradoxically dilating pupil in the presence of light) may be discovered if the pin light is rapidly alternated from side to side.
Assessing Chronic Pain: A Multidisciplinary Clinic Handbook by Paul M. Camic (auth.), Paul M. Camic Ph.D., Frederick D. Brown M.D. (eds.)