A differential diagnosis for a patient reporting what feels to them as a toothache could instead be Eagle’s Syndrome, or an elongated styloid process, which is the slender, pointed piece of the bone just below the ear (Aral, Karaca, & Güngör, 1997). This condition results in craniofacial and cervical pain that is triggered by swallowing, and/or jaw movement. Eagle’s syndrome causes a dull pain in the oropharynx as well as the feeling of a foreign body being stuck in the pharynx. Patients with this syndrome have also described molar pain similar to that of a toothache. This syndrome is most common in 30-40-year-old patients, especially women. The diagnosis of Eagle’s syndrome should be considered when encountering a patient exhibiting “oropharyngeal pain originating from …show more content…
Also radiography examination should show the elongated styloid.
Another differential diagnosis for a patient reporting a toothache could be from Herpes zoster in the trigeminal nerve (Tidwell, Hutson, Burkhart, Gutmann, & Ellis, 1999). This diagnosis is particularly hard to come by because the beginning stages of the infection result in only odontalgia (pain in the tooth). Herpes zoster virus is responsible for the infectious disease known as shingles. H. zoster affects the sensory ganglion and its cutaneous nerve. 13% of patients afflicted with H. zoster, experience the infection at the site of the trigeminal nerve. There are three diagnostic stages of this infection: (1) prodromal stage, (2) active/acute stage, and (3) chronic stage. The first stage consists of a burning, tingling, or prickly
This operation did not stop the pain, even after many months of rest, more infiltrations and thermos coagulation burning of the nerve roots . He then tried acupuncture which did not calm the pain. He is now using homeopathy for the nerve system, and this helps enormously and has allowed him to start working again. Do you think there could be any connection between the shingles as a boy and these stabbing pains that he has been having overall these years Could the nerve have been damaged Answer The location of the pain certainly makes one think of shingles. Since the virus that causes shingles remains permanently in those nerves, it seems possible to me that some kind of chronic neuritis is possible. There is no true cure for this virus, though outbreaks can sometimes be helped by gamma globulin or immune sera from people with chickenpox or some antiviral drugs. If the homeopathic cure is helping, that is a blessing. Hopefully it will continue to work and whatever the cause, your husband will at least feel some
Nearly 1 out of every 3 people will develop shingles in their lifetime. It is estimated that one million or more shingles cases occur each year in the United States. Shingles, also known as zoster or herpes zoster, is a viral infection that causes pain, burning, or a tingling sensation, along with an itch and blisters that usually form on one side of the body (figure 1).
My patient is a patient that is leaving the E.R. after being diagnosed with the shingles virus. The patient came into the E.R. with a rash on the right side of the trunk. The rash presented as clear blisters and was painful to the touch. The physician diagnosed the patient with
Shingles is a very painful and often a very harmful condition. This virus is generated by the same virus (herpes zoster) none as chickenpox’s. After one gets chickenpox, the virus can lie inactive in the sensory nerves for at least 20 years. It reappears when the disease fighting system is weakened by age, disease or unmanaged stress. When events happen that decrease the disease fighting system, such as getting older, extreme emotional stress, extreme illness, or long-term usage of drugs, the disease fighting system cannot hold down and stop the inactive organisms any longer and they become active again, causing infection along the pathway of the nerve. Shingles is a very painful disease that affects the immune system; however,
The dental office can be a place of weakness for any cardiac attacks. Whether stable or unstable angina, patients subject to these attacks should be handled with a higher level of awareness. If a patient with a known history of angina experiences chest pain during a dental procedure, the procedure should be immediately stopped. The patient should be seated upright and given GTN sublingually and oxygen immediately. If the patient’s pain is not relieved within 3 minutes this pain may be caused by a possible myocardial infarction and medical help should be summoned.
Signs and symptoms to evaluate include, itching, burning, and tingling, as well as the tract of pain sensations. A complete physical examination and review of vital signs would be completed. Further diagnostic criteria include review of all underlying health conditions, paying particular attention to any diseases leading to immunosuppression, and all current medications (Cash & Glass, 2014). Diagnosis is typically completed based upon presentation and Laboratory conformation is not required, however viral cultures can confirm the diagnosis in cases of unusual presentation (Ferri,
No known allergies, no sinus, tenderness, no epistaxis, no bleeding gums, patient has partial dentures, one dental carrier noted, tongue is slightly coated, no swelling, lumps or tenderness noted in throat,
Angelman syndrome was first identified by Harry Angelman in 1965. It is a genetic disorder and Angelman noted the disease as a unique 'syndrome' by the presence of "several children in his practice as having "flat heads, jerky movements, protruding tongues, and bouts of laughter" (Stรถppler 2012: 1). Symptoms usually become notable from ages 6 to 12 months and about 1 in 12,000 to 20,000 people are affected. Although children with Angelman syndrome are prone to epileptic seizures from age two onward, their life expectancy is otherwise normal. Identifiers of Angelman syndrome include cognitive and developmental delays and problems with coordination of speech and movement (Stรถppler 2012:1). Children with Angelman syndrome are also often described as hyperactive. Children appear normal at birth but often begin to have feeding problems and do not meet expected developmental milestones.
Head and Neck: Patient skull is of normocephalic, atraumatic and without masses. The patient 's facial expression and facial contours are normal. The parotid glands are normal. The sinuses are non-tender. Palpation of the temporal and masseter muscles reveals normal strength of muscle contraction. There is symmetry of the nasolabial folds. There is no facial droop noted. Trachea midline. Thyroid is smooth, no goiter or
Rome was once one of the most powerful and well achieved empires throughout world history, so what caused its downfall? At the start of the third century C.E., Rome faced many problems. The once growing and flourishing empire was beginning to decline. Historians examined both the internal conditions that weakened the extensive empire as well as the external force of barbarian invasions. From this, historians extracted a variety of explanations for what led such a great empire to fall.
Shingles, herpes zoster, is a very contagious and painful rash, or blister that appears on the skin. These rashes most commonly appear on the sides of the body in stripes. The stripes are made up of many very painful blisters caused by a certain type of virus. The varicella zoster, most commonly known as the chicken pox virus attacks the nerve roots in that area. The herpes zoster virus is in the herpes family, including HSV, herpes simple virus, which causes cold sores, fever blisters, and genital herpes. (WebMD, 2011) Most people are required to get the chicken pox shot when they are children although some do not. The chicken pox shot helps to keep out the virus by keeping it dormant in the nerves. The varicella zoster virus stays in a
I would like to develop a better understanding of my team, improve communication skills, achieve a better other esteem, receive a college degree and become a Plant Manager. Philip Hwang specified that “Caring for others can be rewarding in itself; in addition, others are likely to reciprocate in positive ways when we demonstrate concern for them”, (as cited in I Never Knew I Had a Choice (10th edition, p.5). I would like to develop a better other-esteem. I feel my team knows that I care for them
When the herpes simplex virus infection becomes active again, symptoms such as burning or stinging pain at the affected site is common, followed by pink bumps and small blisters. The blisters dry quickly and crust over, and the areas heal within a few days. Repeated attacks occur in roughly the same place each time.
Operative procedures which have pain-generating capacity provoke high levels of anxiety compared to non-operative procedures. Highest anxiety in a dental setting is common on procedures such as injection, tooth extraction, and drilling. (Bhola and Malhotra, 2014) According to some patients especially for children and adolescents, the following contributes to their anxiety in seeking dental treatment: personal experience such as influence of parents or peers, bad manner of lack of clinical skills, and improper work ethic of the dentists and dental auxiliaries, dental clinic settings such as the arrangement of the dental chair and other equipment, and also the overall ambiance and sounds inside the dental clinic.
The effect of Work Design on other organisational functions and activities including Production, Finance, Human Resources, and Marketing etc.