Jaw pain/swelling
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| Jaw pain/swelling Classification and external resources | |
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| 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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Differential Diagnosis
In alphabetical order. [1] [1]
- Behavioral disorders
- Burkitt lymphoma
- Dental or periodontal pathology
- Fibromyalgia
- Giant Cell Arteritis
- Headache with radiation to the jaw
- Herpes zoster or post-herpetic neuralgia
- Metastases to mandible, maxilla or TMJ
- Mucosal lesions
- Neuralgias
- Neuropathies
- Paranasal sinus pathology
- Primary neoplasms of the maxilla, mandible, or major salivary gland
- Referred pain from cardiac, cervical spine, pulmonary or throat disease
- Rheumatologic disease
- Salivary gland pathology (inflammation, neoplasm, or ductal stone)
- Systemic arthritis
- Temporomandibular joint disorder (TMJ)
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
- Intra-articular steroid / lidocaine injections
- High dose steroids
- Pain relievers
- Migraine-specific therapy
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Anticonvulsants
References
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
