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    1. The document provides instructions for a case discussion on migraine headaches. It describes a case of a 28-year-old male experiencing recurring monthly headaches with symptoms of throbbing pain on the right side of his head aggravated by light. 2. The learning objectives are to understand pain pathways and physiology, including different types of pain fibers, pain suppression mechanisms, referred pain, and headache mechanisms. 3. Students are asked to discuss the case and concept guide questions about pain pathways and the clinical correlates of headaches based on provided resources.

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    1. The document provides instructions for a case discussion on migraine headaches. It describes a case of a 28-year-old male experiencing recurring monthly headaches with symptoms of throbbing pain on the right side of his head aggravated by light. 2. The learning objectives are to understand pain pathways and physiology, including different types of pain fibers, pain suppression mechanisms, referred pain, and headache mechanisms. 3. Students are asked to discuss the case and concept guide questions about pain pathways and the clinical correlates of headaches based on provided resources.

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    1. The document provides instructions for a case discussion on migraine headaches. It describes a case of a 28-year-old male experiencing recurring monthly headaches with symptoms of throbbing pain on the right side of his head aggravated by light. 2. The learning objectives are to understand pain pathways and physiology, including different types of pain fibers, pain suppression mechanisms, referred pain, and headache mechanisms. 3. Students are asked to discuss the case and concept guide questions about pain pathways and the clinical correlates of headaches based on provided resources.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    13 views2 pages

    Handouts

    Uploaded by

    chayChay gapol
    1. The document provides instructions for a case discussion on migraine headaches. It describes a case of a 28-year-old male experiencing recurring monthly headaches with symptoms of throbbing pain on the right side of his head aggravated by light. 2. The learning objectives are to understand pain pathways and physiology, including different types of pain fibers, pain suppression mechanisms, referred pain, and headache mechanisms. 3. Students are asked to discuss the case and concept guide questions about pain pathways and the clinical correlates of headaches based on provided resources.

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    First Year

    SGD CASE (MSK 1st Week)

    INSTRUCTIONS

    1. Read the case below, which will help us correlate clinically the topics in the basic sciences.
    2. Concept guides are provided to assist you in which topics to study.
    3. Please refer to the booklet on “Scored Group Discussion” by Richard Lander. We will be using
    most of the elements discussed unless otherwise specified.
    4. Length of time: 3 hours per meeting.
    5. Time for preparation: 1 week prior to the schedule of the meeting.
    6. Rotating roles of group members: leader, secretary, moderator
    a. Leader: secures copy of the case, assigns roles, initiates case discussion
    b. Secretary: checks attendance, lists ideas, writes down concept map for discussion
    c. Moderator: keeps the flow of discussion on track and mediates arguments
    7. Speak English during the discussion.
    8. Present a concept map at the end of the SGD. The following link can serve as a guide for concept
    map construction: https://www.youtube.com/watch?v=FSrlIP3yVjs

    LEARNING OBJECTIVES

    1. Identify the different types of pain and their associated fibers.


    2. Explain the mechanism behind the suppression of pain.
    3. Understand the physiology behind referred pain.
    4. Demonstrate understanding of pain pathways through a common clinical scenario, i.e., headache.

    THE CASE

    Josh is a 28-year-old male who consulted at the outpatient department of Urgello’s premier hospital for
    headache. He states that it started just two hours prior to the consultation. The pain is located on the
    right side, particularly involving the forehead and right eye. He noted the pain to be throbbing in character
    and took paracetamol with no relief from the pain. Upon further examination, you noted that the
    headache has been recurring monthly since he started his new job last year. The pain subsides when he
    lies down but is aggravated by bright lights, especially whenever events with fancy names like Mundo
    Granate are held at the coliseum a few houses away from his apartment.

    After requesting additional diagnostic tests, you concluded that Josh has migraine headache. Treatment
    was prescribed and instructions were given to minimize migraine attacks.

    CONCEPT GUIDE

    Physiology
     Somatic Sensations: Pain, Headache, and Thermal Sensations

    GUIDE QUESTIONS
    These questions only serve to jumpstart the discussion on the topics presented in the concept guide. The
    students are strongly encouraged to ask other relevant questions to make the discussion more meaningful.

    Southwestern University – PHINMA Villa Aznar, Urgello St., Cebu City, Philippines
    T +63. 32. 415. 5555 | www.swu.edu.ph
    1. What are the different types of pain?
    2. What are the different pain pathways in the spinal cord and brainstem?
    3. How is pain suppressed?
    4. What are the mechanisms of referred pain?
    5. As a clinical correlate, briefly discuss the mechanisms underlying headaches.

    RECOMMENDED RESOURCES

    • Guyton and Hall Textbook of Medical Physiology, 14th Edition

    Southwestern University – PHINMA Villa Aznar, Urgello St., Cebu City, Philippines
    T +63. 32. 415. 5555 | www.swu.edu.ph

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