Which of the following hospital patients is most likely to be diagnosed with complex regional pain syndrome II (CRPS II)?
A)
A man who has been admitted for treatment of continuing hyperalgesia after sustaining a nerve injury in a motor vehicle accident
B)
A woman who requires analgesia more than 3 months after an episode of shingles
C)
A male client with diabetes mellitus who requires analgesia prior to each dressing change on his chronic foot wound
D)
A female who has seemingly unprovoked attacks of pain that are accompanied by facial tics and spasms
Ans:
A
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CRPS is marked by the presence of continuing pain, allodynia, or hyperalgesia after a nerve injury, not necessarily limited to the distribution of the injured nerve with evidence at some time of edema, changes in skin blood flow, or abnormal sensorimotor activity in the region of pain. Pain related to shingles is an example of postherpetic neuralgia, while a need for analgesia prior to dressing changes would not indicate CRPS. Sudden attacks of pain accompanied by facial tics and spasms may be indicative of trigeminal neuralgia.
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