Question........... - psychmledr

[ArchivalUser]

A 13-year-old figure-skater botches a quadruple lutz and falls on her right outstretched hand. Several weeks later, a cast is removed for a healed scaphoid fracture. She begins having episodes of intense burning pain, sweating, swelling, and redness that begins in her right hand and moves up her forearm, sometimes up to her shoulder. These episodes often occur when she is angry or upset. P/E of her arm shows no visible abnormalities.
Which of the following nerve types are involved in the pathogenesis of her disorder?

A. General somatic afferent
B. General somatic efferent
C. General visceral afferent
D. Special somatic afferent
E. Special visceral afferent

[ArchivalUser]

aa

[ArchivalUser]

aa...i agree

[ArchivalUser]

Hi there

A.. Good Q

[ArchivalUser]

no idea .... let me guess.... BB ?????

[ArchivalUser]

What is the diagnosis?

[ArchivalUser]

sudecks dystrophy

[ArchivalUser]

Reflex sympathetic pain syndrome aka complex regional pain syndrome, is a mysterious disorder that often occurs after injury to an extremity. It is thought to be due to formation of an abnormal sympathetic reflex arc that becomes modulated by cortical inputs in times of stress. The key to this diagnosis is that it does not obey any specific nerve distribution and symptoms reflect vasospasm. Sympathetic reflexes are autonomic, consisting of a general visceral afferent (GVA) arm and general visceral efferent (GVE) arm. Even if you did not know the diagnosis, the episodic diaphoresis and vasodilation should point you towards an autonomic pathogenesis. Special somatic afferents (SSA) are only involved in sensation of vision, hearing and balance. General somatic afferents (GSA) provide sensation from all parts of the body except the gut, smooth muscle, and glands. Special visceral afferents (SVA) sense taste and smell. General somatic efferents (GSE) innervate somatic muscles.
I have read this....is this right???can anyone tel...so the ans is C?

[ArchivalUser]

Answer is C as shanseeb stated.

Also known as Complex Regional Pain Syndrome or Reflex Sympathetic Dystrophy Syndrome.

Please check this link:

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004456/

[ArchivalUser]

http://images.rheumatology.org/image_dir...8-0005.jpg