Differential Diagnosis Case Assignment Help: How to Answer This Question

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Original Question

DIFFERENTIAL DIAGNOSIS CASE S..5@gmail.com Switch accounts * Indicates required q..5@gmail.com as the email to be included with my response Chief Complaint: “My jaw has been really bothering me lately. Sometimes it’s on this side, sometimes on that side, and sometimes it even feels like it’s in my ear.” Medical History: 32-year-old female reports a history of mild, occasional headaches and neck stiffness. No other significant medical history. Not currently taking any medications. Non-smoker. Dental History: Generally good oral hygiene. Has a history of bruxism (night grinding) and reports occasional jaw clicking. All teeth are present. No recent dental work. Clinical Examination: Extraoral: Mild tenderness to palpation of the left temporomandibular joint (TMJ) and the masseter muscle bilaterally. Restricted range of mandibular motion with a slight deviation to the left upon opening. Intraoral: No obvious signs of dental infection or pathology. Mild attrition is noted on the occlusal surfaces of posterior teeth, consistent with bruxism. No significant periodontal findings. All teeth are vital. Radiographic Findings: Panoramic radiograph reveals no gross osseous abnormalities or TMJ pathology. Select all the possible differential diagnosis to consider. Right minus wrong. 2 points Temporomandibular Joint Disorder (TMD) – Myalgia Acute irreversible pulpitis Temporomandibular Joint Disorder (TMD) – Internal Derangement Atypical Facial Pain Acute apical periodontitis Ludwig’s angina Trigeminal Neuralgia Referred Pain from Cervical Spine Issues Atypical migraine Occlusal Disharmony Case Scenario 1: The Persistent Pimple Chief Complaint: “I have this bump on my gums that just won’t go away. It’s been there for a few weeks now.” Medical History: 48-year-old male, generally healthy. Reports occasional seasonal allergies. No known drug allergies. Non-smoker. Drinks one cup of coffee daily. Dental History: Routine dental care. Last dental visit was 6 months ago for a cleaning. Reports occasional sensitivity to cold. No history of periodontal disease. Clinical Examination: Extraoral: No significant findings. No lymphadenopathy. Intraoral: A small (approximately 5mm diameter), slightly raised, erythematous nodule is present on the facial gingiva apical to tooth #25. The nodule is non-tender to palpation. There is no associated purulence upon gentle pressure. The adjacent gingiva appears healthy with no signs of inflammation. Tooth #25 is vital to pulp testing and has no signs of caries or fracture. Probing depths around tooth #25 are within normal limits (2-3mm). Radiographic Findings: A periapical radiograph of tooth #25 shows no evidence of periapical radiolucency or other abnormalities. Select all the possible differential diagnosis to consider. Right minus wrong. 2 points Gingival Abscess Chronic irreversible pulpitis Parulis (cutaneous sinus tract from a chronic periapical infection) Fibroma Peripheral Giant Cell Granuloma Pulp necrosis Phoenix abscess Pyogenic Granuloma Herpetic lesion Squamous cell carcinoma Mucocele FAMILY NAME ONLY IN CAPITAL LETTERS ( MINUS 5 FOR NFI) 2 points Your answer Chief Complaint: “My cheek suddenly puffed up, and it’s a little sore.” Medical History: 68-year-old male with well-controlled type 2 diabetes and hypertension. Takes oral medications for both conditions. Reports a penicillin allergy. Dental History: Several missing posterior teeth. Presents with generalized mild periodontitis. Reports a toothache in the lower right quadrant a few weeks ago that resolved on its own. Clinical Examination: Extraoral: Noticeable diffuse swelling of the right cheek. Skin overlying the swelling is slightly warm and erythematous. Palpation reveals a firm, tender swelling with no distinct fluctuance. No obvious lymphadenopathy. Intraoral: Tooth #46 is present and exhibits a large carious lesion extending subgingivally. There is tenderness to percussion on tooth #46. Probing depths around tooth #46 range from 5-7mm with bleeding on probing. A small amount of purulence can be expressed from the gingival sulcus of tooth #46. Adjacent mucosa appears erythematous. Radiographic Findings: A periapical radiograph of tooth #46 shows a large periapical radiolucency extending beyond the apex. Select all the possible differential diagnosis to consider. Right minus wrong. 2 points Acute Periapical Abscess with Facial Cellulitis Periodontal Abscess with Facial Cellulitis Hematoma Odontogenic Cyst (infected) Allergic reaction Salivary Gland Infection (Parotitis/Submandibular Sialadenitis) Soft Tissue Tumor (less likely given the acute onset and dental findings) Submit Page 1 of 1 Clear form Never submit passwords through Google Forms. This content is neither created nor endorsed by Google. – Terms of Service – Privacy Policy Does this form look suspicious? Report  Forms

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