Download e-book for kindle: Animal Man v2 025 by Jeff Lemire

By Jeff Lemire

Hollywood Babylon, Pt. 2

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VISUAL ANALOG SCALES. Evaluating pain in children can be very difficult because of the child's inability to describe pain or understand pain assessment forms. This scale depicts six sketches of facial features, each with a numeric value, 0 to 5, ranging from a happy, smiling face to a sad, teary face (Fig. 1). To extrapolate this scale to the visual analog scale, multiply the chosen value by two. This scale may also be beneficial for mentally impaired patients. Children as young as 3 years may reliably use this scale.

ADVERSE EFFECTS AND CONTRAINDICATIONS Unfortunately, the NSAIDs are not free of bothersome, and sometimes even dangerous, adverse effects (Table 3). Many patients cannot tolerate these drugs because of their gastrointestinal (GI) effects. Several hundred deaths per year are the result of GI bleeding induced by chronic NSAID use, the elderly being particularly susceptible. After the introduction of the injectable nonsteroidal ketorolac, the drug became very popular for postoperative pain. There followed a rash of reported problems with the drug, the most serious of these being catastrophic GI bleeding.

In most reports, chronic treatment has been limited to responders, which precludes validation of the infusion as a predictive test. Various neurophysiologic tests are used to help in the diagnosis of pain syndromes and related neurologic disease (see Chapter 7). The neurophysiologic tests most commonly used in pain clinics are categorized as quantitative sensory testing (QST), and these tests specifically evaluate patients' responses to carefully quantified physical stimuli. Thermography is a noninvasive way of displaying the body's thermal patterns.

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Animal Man v2 025 by Jeff Lemire


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