Jaw pain/swelling

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Jaw pain/swelling
Burkitt's lymphoma.
Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


Differential Diagnosis

In alphabetical order. [1] [2]

History and Symptoms

  • Onset
  • Character
  • Pattern of pain
  • Past medical history
  • Past surgical history
  • Complete review of systems
  • Associated symptoms

Physical Examination

  • Oral exam
  • Head exam
  • Ear, nose exam
  • Cardiac exam
  • Pulmonary exam
  • Lymphatic exam

Laboratory Findings

  • Appropriate lab studies for suspected diagnoses

X Ray

  • Sinus X-ray may be indicated

MRI and CT

  • CT and MRI may be required

Other Imaging Findings

  • Panorex films

Other Diagnostic Studies

  • Referral if necessary
  • Therapeutic trial of medications
  • Temporal artery biopsy
  • Biopsy of suspicious lesions

Treatment

  • Specialized treatment for dental or periodontal pathologies
  • Bite block
  • Cold/warm compresses
  • Avoid gum chewing
  • Avoid jaw clenching
  • Stress reduction
  • Treat underlying etiologies

Pharmacotherapy

Acute Pharmacotherapies

References

  1. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X

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