Pain Flashcards
1
Q
34 year old with sharp electric pain on left side of her face over top jaw and side- of nose . Diagnose ?
A
Trigeminal neuralgia
Treat with caranamazepine but need to monitor liver function
2
Q
65 man has severe throbbing pain in his head. Pain is worse when out glasses on and mastication increases temporal pain .
Which investigation ?
Diagnose ?
A
ESR - Erythrocytes sedimantation rate
To check arthritis - temporal arteritis :
Produces painful , pulseless temporal arteries
It can affect lingual arteries leading to tongue necrosis
Retinal artery involvement leads to sudden ocular symptoms
