James is a 45 year oldman who is brought into the clinic after cutting his right handwith a knife while installing carpet. He has cleaned his hand andwrapped the cut in a bandage which has stopped the bleeding. Hisphysical examination reveals a clean 2 inch laceration (cut) in hisright palm which is well-approximated (the edges of the woundalign). His vital signs are stable, and he has agreed to surgicalrepair of his laceration. He states that his pain is a 6/10, anddescribes it as being a sharp pain, directly in the area of thelaceration.
- What type of pain is Jamesexperiencing? Be specific about the type and subtype, and explainyour rationale.
- In 3-6 sentences, explain thetransmission of James’ pain. Include the transduction,transmission, modulation, and perception of the pain.
- Laceration repair involves theuse of a needle to draw the suturing material through the healthytissue. What type of analgesia do you expect to be used to controlJames’ pain while repairing his laceration? Explain why that typeof analgesia would be used, as well as the specific mechanisms bywhich it will control James’ pain.
