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TMD > Lec 6 Part II > Flashcards

Lec 6 Part II Flashcards

1
Q

Often seen in patients with trigeminal neuralgia.

A

Teeth extracted bc they think it’s the cause of their pain.

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2
Q

Most frequently diagnosed form of neuralgia.

A

Trigeminal Neuralgia

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3
Q

Trigeminal neuralgia more common in males or females?

A

Females

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4
Q

Location of trigeminal neuralgia pain.

A

Unilateral, more common on right side.

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5
Q

Trigeminal neuralgia rarely involves this branch.

A

Ophthalmic

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6
Q

How long do TN attacks last?

A

Seconds

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7
Q

This is normal in TN patients.

A

Cranial nerve exam

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8
Q

Often occurs with TN.

A

Multiple sclerosis

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9
Q

What causes TN?

A

Compression of the trigeminal nerve by neoplastic or vascular entities and demyelinating conditions.

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10
Q

A demyelinating condition that can cause trigeminal neuralgia.

A

MS

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11
Q

Meds for TN

A

Anticonvulsants

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12
Q

Pain when swallowing

A

Glossopharyngeal Neuralgia

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13
Q

GN more common in males or females?

A

Males

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14
Q

These occur after the attacks in Glossopharyngeal Neuralgia.

A

refractory periods

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15
Q

What causes GN?

A

Unknown

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16
Q

Can be mistaken for myofascial pain.

A

Odontogenic pain

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17
Q

A type of non-odontogenic pain.

A

Atypical Odontalgia

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18
Q

Atypical Odontalgia AKA

A

Atypical Facial PAIN

Phantom Tooth Pain

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19
Q

Chronic pain in a tooth, or in a site where teeth have been extracted, without an identifiable cause.

A

Atypical Odontalgia

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20
Q

How long does Atypical Odontalgia last?

A

Minutes to Hours

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21
Q

Radiographic feature seen in Eagle’s Syndrome.

A

Calcification of the stylohyoid ligament

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22
Q

Primary complaint of Eagle’s Syndrome.

A

Dysphagia

Sensation of a foreign body in the throat.

23
Q

This alone does not mean it’s Eagle’s Syndrome.

A

Calcification of the stylohyoid ligament.

24
Q

Secondary complaints of what?

Otalgia
Headache
Pain in the distribution of the carotid
Pain in the TMJ
Generalized facial pain
A

Eagle’s Syndrome

25
Q

Can cause what kind of pain:

Giant cell arteritis
Ear infection
Sinus infection
Lyme Disease
Herpes Zoster
A

Orofacial pain

26
Q

Have an elevated erythrocyte sedementation rate in this disease.

A

Temporal arteritis

27
Q

Gold standard for diagnosing Temporal Arteritis

A

Biopsy

28
Q

Medication for Temporal Arteritis

A

High dose corticosteroids (Prednisone) –> anti-inflammatory

29
Q

Occurs if Temporal Arteritis is left untreated.

A

Blindness

30
Q

Symptom of Temporal Arteritis

A

Blurry vision that does not go away, and worsens when you palpate the artery.

31
Q

This is absent in Temporal Arteritis

A

Lymphadenopathy

32
Q

Fever, fatigue, malaise, weight loss, and night sweats found in what?

A

Temporal Arteritis

33
Q

Cause of temporal arteritis

A

Autoimmune

34
Q

Temporal Arteritis more common in males or females?

A

Females

35
Q

A branch of the carotid artery.

A

Temporal Artery

36
Q

Equalizes pressure in the middle ear to that of the external environment.

A

Eustachian tube.

37
Q

What does the Eustachian tube connect?

A

Middle ear to nasopharynx.

38
Q

Interstitial fluid forms in the Eustachian Tube, and bacteria grow to cause a middle ear infection.

A

Otitis Media

39
Q

Babies with otitis media don’t want to do this or cry when they do this bc pressure increases and causes pain.

A

Lay down

40
Q

Causes otitis media.

A

Bacterial or Viral infections from an upper respiratory infection,

41
Q

Central event in sinusitis.

A

Blockage of the sinus

42
Q

Symptoms of what?

Nasal stiffness
Sinus fullness
Post-nasal drip
Tenderness over the sinus
Aching of maxillary teeth
A

Maxillary sinusitis

43
Q

Lyme Diseases bacterial or viral?

A

BACTERIAL

44
Q

Dx:

Bull’s Eye Rash
Flu-like Symptoms
Joint pain
Neurological problems

A

Lyme Disease

45
Q

Herpes Zoster (Shingles) involves this division of trigeminal nerve 80% of the time.

A

Ophthalmic

46
Q

Reactivation of this causes Herpes Zoster

A

Varicella-zoster virus

47
Q

Dx:

  • Duration = constant
  • Location = along affected nerve
  • Quality = Burning, sharp, aching, shooting, itching, tingling
  • Intensity = moderate to severe
  • Herpetic, maculopapular rash
A

Shingles (Herpes Zoster Virus)

48
Q

A condition characterized by pain that persists for more than 3 months after healing of a shingles rash.

A

Postherpetic neuralgia

49
Q

Dx:

1) increasing in intensitywith increasing sexual excitement
2) Abrupt explosive intensity just before or with orgasm.

A

Primary Headache Associated with Sexual Activity

50
Q

A stiff neck may be a sign of what?

A

Meningitis

51
Q

These have a sudden release of Histamine or Serotonin

A

Cluster headaches

52
Q

How long does TN last?

A

A few seconds

Feels like electric shock,

53
Q

This pain can shift locations.

A

Atypical Odontalgia

TMD (14 decks)

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