What presents with acute ascending paralysis bilaterally, starting in the feet?
GBS

What infectious agent do you suspect if your pt presents with bilateral facial neuropathy?
Borrelia burgdorferi

What's a common incorrect treatment for trigeminal neuralgia?
dentists pull teeth unnecessarily

( Self-quiz from Miller's notesCollapse )

Pain =
--a feeling of distress, suffering, or agony,
--an unpleasant sensation that can range from mild, localized discomfort to agony
--has physical and emotional components
--emotions have strong effects on physical perception
--algophobia = an irrational dread of pain
--depression etc strongly associated with inadequately treated pain
--also "pain" = painful uterine contraction occurring in childbirth.
--from the Latin "poena" meaning a fine, a penalty
--acute or nociceptive pain vs neuropathic pain
--nociceptive and neuropathic pain are caused by different neuro–physiological processes, and therefore tend to respond to different treatment modalities
( moreCollapse )

Pain = pain (pān) a feeling of distress, suffering, or agony, caused by stimulation of specialized nerve endings. Its purpose is chiefly protective; it acts as a warning that tissues are being damaged and induces the sufferer to remove or withdraw from the source. The receptors for pain stimuli (nociceptors) are free nerve endings that are abundantly distributed in superficial layers of the skin and mucous membranes, as well as in deeper tissues such as the periosteum, surfaces of the joints, arterial walls, and the falx and tentorium of the cranial cavity. (Dorlands)
( random pain infoCollapse )