Questions 1. A patient has severe pain in their shoulder, arm and hand (CRPS typ
ID: 3478187 • Letter: Q
Question
Questions 1. A patient has severe pain in their shoulder, arm and hand (CRPS type 1). Opioid analgesics have been providing some relief, but the patient has developed a tolerance and requires higher levels of these drugs. The neurologist is considering a surgical procedure that would block the pain sensory input. How might such a procedure be done? 2. An elderly woman has complaints of lower back pain and hip radiating down the back of the thigh into the leg. During a physical exam, her primary care physician finds that she is unable to feel pin pricks in the soles of her feet. Which peripheral nerve is most likely effected? Which spinal root(s) might be most injured? What is a likely cause of nerve damage in this case? 3. When a patient sees his ophthalmologist for an eye exam, it is discovered that the patient's pupils are constricted, even when he is in a dimly-lit room. However, when the ophthalmologist applies epinephrine eye drops, the pupils undergo the characteristic dilation response. The physician concludes that the autonomic nerve innervating the eye is damaged (Horner's syndrome). Is this a problem with sympathetic or parasympathetic pathway? Describe the pathway from the spinal cord to the pupil.Explanation / Answer
1.Ans:
Most people will not need shoulder surgery, but in many cases, surgery may be effective in minimizing or eliminating your shoulder pain when other treatment methods have failed.
They will relieve the pain through a procedure called acupuncture.
Arthroscopy: This can be done if they have shoulder pain due to osteo arthritis.
2.Ans:
The perioneal nerve is a branch of the sciatic nerve, which supplies movement and sensation to the lower leg, foot and toes. Common peroneal nerve dysfunction is a type of peripheral neuropathy (damage to nerves outside the brain or spinal cord).
Femoral nerve dysfunction is a loss of movement or sensation in parts of the legs due to nerve damage. The spinal root is lower lumbar spine from where the femoral nerve raised. The cause of this injury is likely to be an accident.
3.Ans:
Horner's syndrome can also be caused by the following: Neck traumaand neck surgery. A tumor in the brainstem or in the hypothalamus. Horner syndrome (Horner's syndrome) results from an interruption of the sympathetic nerve supply to the eye.
Superior cervical ganglion
Carotis plexus
Opthalmic nerve
Pupil dilator
Related Questions
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.