【評論主題】50.在進行口腔手術前時，發現病人的肚子痛、胡言亂語、十分疲勞、血壓降低、肌肉疼痛、嘔心、意識不淸、虛弱，可能發生的疾病為何？(A)急性腎上腺功能不足（acute adrenal insufficie

【評論內容】原文書第二章Manifestations ☆☆ ...

【評論主題】35.有關神經痛（neuropathic pain）的敘述何者正確？(A)神經痛為疼痛神經傳導系統受損或調控失衡導致(B)神經痛可能為外傷或醫源性傷害，而此種症狀多為感覺異常（paresthesia）

【評論內容】ch30Neuropathic pains arise from an injured pain transmission ormodulation system. Surgical intervention or trauma is frequentlythe cause. For example, trauma to the infraorbital region may leadto numbness or pain in the distribution of the infraorbital nerve. Indental surgery, extraction of impacted mandibular third molars carriesa measurable risk of nerve damage to the mandibular and lingualnerves. In the majority of these cases, damage leads to paresthesia,an abnormal sensation in the dermatome of the affected nerve.Typically this sensation is one of mild numbness or tingling. Lossof all sensation may occur when the nerve is transected. In a subsetof cases, dysesthesia—an abnormal, unpleasant sensation—canresult; it is often described as a burning or sharp electric shocklikesensation. When a patient complains of burning or sharp shocklikepain in the face or mouth, pain of neuropathic origin shouldbe included in the differential diagnosis. One should appreciatethat the oral cavity is the most common site of amputation, ifone recognizes amputations to include the teeth and the dentalpulp (i.e., endodontics). As in phantom limb pain after extremity在這些大多數情況下，損傷導致異常感覺，即受影響神經的皮膚範圍內的異常感覺。通常這種感覺是輕微的麻木或刺痛。當神經被截斷時，可能出現完全喪失感覺。