Anaes Vivas · Chronic & cancer pain
Data viva — the DN4 neuropathic pain screen
A data viva on the DN4 — the 10 items (the 7 symptoms, the 3 clinical signs), the 4-or-above threshold for the neuropathic pain; the sensitivity/specificity; and the clinical use (the identification of the neuropathic component, the pharmacotherapy change).
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Study tools
Target exams
ANZCAFRCAABAEDAIC
Prompt
The DN4 questionnaire (the 10-item neuropathic pain screening tool) and a patient with the burning foot pain. Score and interpret.
Stimulus
The DN4 questionnaire is shown (the 10 items — the 7 symptoms and the 3 clinical signs). A patient describes the burning pain in both feet, the electric shocks, the pins-and-needles, and the allodynia on the clinical examination. Score the patient and interpret the result.
References2ShowHide
- [1]Lu H, et al. Consensus on the clinical use of pregabalin in peripheral neuropathic pain. CNS Neurosci Ther, 2026.PMID 42310848
- [42310849]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.