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James is a 45 year old man who is brought into the clinic after cutting his right hand with a knife while installing carpet. He has cleaned his hand and wrapped the cut in a bandage which has stopped the bleeding. His physical examination reveals a clean 2 inch laceration (cut) in his right palm which is well-approximated (the edges of the wound align). His vital signs are stable, and he has agreed to surgical repair of his laceration. He states that his pain is a 6/10, and describes it as being a sharp pain, directly in the area of the laceration.
-What type of pain is James experiencing? Be specific about the type, subtype, and explain your rationale.
-Explain the transmission of James' pain. Include the transduction, transmission, modulation, and perception of the pain.
-Laceration repair involves the use of a needle to draw the suturing material through the healthy tissue. What type of analgesia do you expect to be used to control James' pain while repairing his laceration? Explain why that type of analgesia would be used, as well as the specific mechanisms by which it will control James' pain.
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