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Ava: Anterior Pelvic Pain During Pregnancy

Ava is a 28-year-old Puerto Rican woman who is seven months pregnant. She complains of anterior pelvic pain that began several weeks ago.

Breast Pain

Follow three case studies that cover pain with breastfeeding, mastitis, and postmastectomy pain syndrome along with other breast pain topics.

Christine: Orofacial Pain

Christine is a 30-year-old woman referred by her local ENT doctor. She says she's experiencing excruciating pain in her jaw.

Harold: Trauma Pain

Harold is an adult male with pain from trauma experienced in a car accident. This case covers assessing the aspects of the pain experience in a trauma patient with substance use disorder by integrating the health history into the treatment decision-making process, examining multimodal approaches to treat acute trauma across transitions of care, recognizing the biopsychosocial impact of the treatment of acute pain in patients with substance use disorder, and designing an appropriate treatment plan using case-based learning to address acute trauma related pain in patient with substance use disorder.

Interprofessional Management of Acute to Chronic Leg Pain

CA is a 48-year-old female patient who is status post left total knee replacement arthroplasty under a general anesthetic. Patient controlled analgesia was initiated in the post-anesthesia care unit. After transfer to the regular ward, the patient complains of worsening acute post-surgical pain coupled with chronic pain from inflammatory degenerative joint disease.

Jane: Acute Dental Pain

A 35-year-old woman presents to the hospital emergency department with pain in the lower jaw.

Melissa: Medication Overuse Headache

Recognizing medication overuse headache in patients presenting with chronic migraine. In this case study, we present a 39-year-old woman who has been experiencing near daily headache for the last 4 months and her successful treatment.

Mr. Jones, Mrs. Hubbard, Mrs. Miller, and Mr. Nguyen

Follow 52-year-old Mr. Jones, 78-year-old Mrs. Hubbard, 38-year-old Mrs. Miller, and 45-year-old Mr. Nguyen as their care teams navigate opioid management for their acute pain once hospitalized.

Mr. Lane: Acute Farm Injury with Chronic Pain

This case presentation follows a 43-year-old farmer named Mr. Lane who injured his right arm after it got stuck in a combine. He was then air lifted to a tertiary care center. The case includes Mr. Lane's initial injury, acute pain, and the development of chronic pain and acute on chronic pain.

Mr. Wakefield: Wounded Warrier

Mr. Wakefield is a young Army veteran with chronic low back pain and depression. His physical exam demonstrates musculoskeletal pain and lumbar facet arthropathy (joint pain in his lower back).

Mrs. Farley: Chronic Temporomandibular Joint and Fibromyalgia Pain

Mrs. Christine Farley has been suffering from temporomandibular joint (jaw) and myofascial (muscular) pain, and you are asked to be part of her inter-professional team to advise on how to best help manage her pain.

Mrs. Jackson: The Transition from Acute to Chronic Pain in a Cancer Survivor

Ms. Jackson is a 38-year-old, African American nurse who completed treatment for triple negative breast cancer 5 months ago. She opted for bilateral mastectomy, radiation, and chemotherapy. The patient is frustrated that she still experiences pain, states “it’s ruining my life."

Neuropathic Pain Mechanisms, Neuromodulating Agents and Medical Home Model

This foundational course covers terms and concepts of neuropathic pain, anatomical basis for neuropathic pain, clinical applications of aberrant nociceptive processing; general concepts of pharmacological treatment of neuropathic pain, anticonvulsants, anti-depressants and other neuromodulating agents; medical home models, treatment planning in the medical home context, motivating patients to participate in comprehensive care.

Opioids: Perspectives, Use Cases and Safe Management

In this foundational module, learn more about the global challenge of pain care, applications of opioids globally, features of specific opioids available locally; opioids in context, definitions of tolerance and physical dependence, management of chronic non-cancer pain; safe management definitions: clear lines and gray areas, societal impact of prescription drug abuse, assessment and management of risk in the physician’s office.

Owen: Opioid Overdose Risk and Naloxone

Owen Jones is a 46-year-old man who presents for followup of low back pain with intermittent radicular symptoms and numbness which started ~ 2 years ago following a lifting related injury. He describes the pain as, "Sharp, pinching, and sore."

Pam: Post-Mastectomy Pain Syndrome

Pam is a 41-year-old woman diagnosed with breast cancer approximately one year ago. Pam underwent treatment including a bilateral mastectomy and subsequent breast reconstruction. Now she is experiencing pain that she feels should be improving.