diff --git a/_posts/2023-11-07-Anatomy_physiology.md b/_posts/2023-11-07-Anatomy_physiology.md index 1fc6c54..616fbe3 100644 --- a/_posts/2023-11-07-Anatomy_physiology.md +++ b/_posts/2023-11-07-Anatomy_physiology.md @@ -143,7 +143,9 @@ tags: [anatomy, physiology] ### Pain Pathway 1. Tranduction: injury causes activation of fast A-Delta and slow C fibers. Substance P is released + - Target Drugs: Local Anesthetic Cream, NSAIDs, Opioids 2. Transmission: Signals travel towards the brain via the spinothalamic tract + - Target Drugs: Local Anesthetic blockade 3. Modulation: Within the substantia gelatinosa of the spinal cord 1. Inhibition via the descending inhibitory pathway: 5HT and NE, effect inc with antidepressants 2. Augmentation via central sensitization and wind up: Blocked by ketamine and precedex @@ -151,6 +153,9 @@ tags: [anatomy, physiology] 4. Primary Hyperalgesia: PGE2 stimulates free nerve endings 1. NSAIDs and Steroids block PGE2 2. Tylenol may antagonise cannabinoid receptors or a possible COX 3 + - Target Drugs: NMDA anatagonists, Neruaxial Opioids, Alpha-2 Agonists, SNRIs +4. Perception + - Target Drugs: General Anesthetics, Opioids, Alpha-2 Agonists ![pain](/assets/img/pain.png)