INTRODUCTION
SITE SEARCH
BPSi Clinical Mental Model
ASSESSMENT
PAIN EKG
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PAIN EKG - P
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Predisposition
Precipitation
Pattern
Provocation
Prior Treatments
Palliative
Patient Beliefs
PAIN EKG - Q
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Quality of Pain
Quality of Life
PAIN EKG - R
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Region of Pain
Reflexes Affected
Red Flags
Risk Assessment
PAIN EKG - S
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Severity of Pain
Sensory Abnormalities
Strength Abnormalities
Sanity Issues
PAIN EKG - T
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Timing of Pain
Testing for Cause
Tolerance for Pain
INTERPRETATION
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Nociceptive/Peripheral
Neuropathic
Centralized
Complexity
COMMON CONDITIONS
Back Pain Pointers
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Back Pain Differential
Facet Joint Disease
Radiculopathy
Treatment for Low Back Pain
Do Not Do for Acute LBP
Fibromyalgia Syndrome
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FMS Signs & Symptoms
FMS Diagnosis
FMS Drug Treatment
FMS Non-Drug Treatment
TREATMENT IN GENERAL
VA-DoD OPIOID 2022 CPG
Module A
Module B
Module C
DRUG TREATMENT
WHO Pain Ladder
Non-Opioids
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Antidepressants
Anticonvulsants
Miscellaneous
Opioids - General Info
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General Pointers
Opioid Tx Protocol
Managing Side Effects
Opioid Conversion
Drug Rotation
Common Opioids
Opioid Complications
Tapering Opioids
NALOXONE RESCUE
MONITORING TREATMENT
5 A's
Urine Drug Testing
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UDT General Pointers
Specific UDT Examples - A
Specific UDT Examples - B
Validating Urine Samples
Monitoring Agreement Issues
State PDMP Links
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Ohio (pmpaware) Link
Pennsylvania (pmpaware) Link
West Virginia PDMP
TIME TO REFER
LEXICON
Addiction
Substance Use Disorder
Pseudoaddiction
Physical Dependence
Tolerance
Hyperalgesia
Drug Diversion
PAIN & THE MIND
PROVIDER RESOURCES
ADDICTION RESOURCES
PATIENT RESOURCES
USEFUL WEB LINKS
FEEDBACK
COMMON CONDITIONS -
Back Pain Pointers -
Facet Joint Disease
15-40% LBP due to facet disease
May have normal x-ray
Synovial joint
Sensory fibers with mechanoreceptors and nociceptive fibers
Injury often with twisting heavy loads
Contribute to mechanical load redistribution so injury often from hyperextension against flexion loads
Physical Exam:
Ipsilateral pain on lateral spine flexion and tenderness on deep palpation
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