Pain Medicine: Evaluation, Diagnosis and Clinical History

Pain Medicine · Clinical Specialties

How it begins

Un tratado exhaustivo y sistemático sobre la neurobiología de la nocicepción, la metodología de la anamnesis multidimensional, la semiología de los síndromes de dolor agudo y crónico, y las herramientas de diagnóstico clínico y paraclínico de precisión en medicina algológica contemporánea.

What it covers

1. Neurobiology and Pathophysiology of Pain
2. · 1.1 Transduction and Nociceptive Receptors
3. · 1.2 Transmission and Spinal Pathways
4. · 1.3 Modulation and Descending Paths
5. · 1.4 Pain Processing and Corticalization
6. · 1.5 Pathophysiology of Central Sensitization
7. Systematic Classification of Pain
8. · 2.1 Temporal Taxonomy: Acute Pain vs. Chronic Pain
9. · 2.2 Pathophysiological Classification
10. · 2.3 Topographic Classification and Spatial Distribution
11. · 2.4 International Classification of Diseases (ICD-11) and Chronic Pain
12. The Clinical History of the Patient with Pain
13. · 3.1 Systematic Semiotics of Pain: The Acronym ALICIA-DR
14. · 3.2 Temporal Profile and Longitudinal Evolution
15. · 3.3 Personal History, Comorbidities and Family History
16. · 3.4 Risk Stratification and Substance Use Assessment
17. Warning Flags in Pain Assessment
18. · 4.1 Red Flags: Indicators of Serious Organic Pathology
19. · 4.2 Yellow Flags: Psychosocial and Cognitive Factors
20. · 4.3 Blue and Black Flags: Labor and Institutional Factors
21. · 4.4 Orange Flags: Serious Psychopathology
22. Multidimensional Evaluation and Measurement Instruments
23. · 5.1 Unidimensional Intensity Scales
24. · 5.2 Multidimensional Scales
25. · 5.3 Neuropathic Pain Screening Tools
26. · 5.4 Measurement of Impact on Quality of Life and Functionality
27. Physical and Myofascial Examination of the Patient with Pain
28. · 6.1 Static and Dynamic Inspection
29. · 6.2 Palpation and Myofascial Examination
30. · 6.3 Joint Exploration and Sacroiliac Tests
31. · 6.4 Cervical and Lumbar Spinal Provocation Maneuvers
32. Precision Sensitive Neurological Examination
33. · 7.1 Examination of Thick Myelinated Fibers (Aβ Fibers)
34. · 7.2 Examination of Fine Fibers (Aδ Fibers and C Fibers)
35. · 7.3 Evaluation of Allodynia and Hyperalgesia
36. · 7.4 Somatotopy and Dermatomas of Clinical Relevance
37. Differential Diagnosis of Major Chronic Pain Syndromes
38. · 8.1 Complex Regional Pain Syndrome (CRPS)
39. · 8.2 Myofascial Pain Syndrome versus Fibromyalgia
40. · 8.3 Fibromyalgia and Nociplastic States
41. · 8.4 Peripheral Neuropathies and Compressive Radiculopathies
42. Complementary Tests and Precision Diagnosis
43. · 9.1 Structural and Functional Neuroimaging
44. · 9.2 Clinical Neurophysiology Studies
45. · 9.3 Quantitative Sensory Testing (QST - Quantitative Sensory Testing)
46. · 9.4 Precision Diagnostic and Interventional Blocks
47. Evaluation of Pain in Special Populations
48. · 10.1 Pediatric Patient
49. · 10.2 Geriatric Patient and Dementia
50. · 10.3 Critical and Non-Communicative Patient in the ICU
51. Diagnostic Algorithm and Guide for the Clinical Report
52. · 11.1 Standard Structure of the Pain Medicine Report
53. · 11.2 Integrated Multidimensional Diagnosis