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Hello Doctor, I Am A Student Looking For Differential Diagnoses
Question: Hello Doctor, I am a student looking for differential diagnoses for this case:
A 20-year-20- year- old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but the greatest intensity and pressure occurs above the eyes and spreads through the nose, cheekbones, and jaw. Thank you
A 20-year-20- year- old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but the greatest intensity and pressure occurs above the eyes and spreads through the nose, cheekbones, and jaw. Thank you
Hello Doctor, I am a student looking for differential diagnoses for this case:
A 20-year-20- year- old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but the greatest intensity and pressure occurs above the eyes and spreads through the nose, cheekbones, and jaw. Thank you
A 20-year-20- year- old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but the greatest intensity and pressure occurs above the eyes and spreads through the nose, cheekbones, and jaw. Thank you
Brief Answer:
Differential diagnosis provided and some explanations as well
Detailed Answer:
Hello and welcome to "Ask a Doctor" service,
Headache worse on the facial area can be caused by the following (the most likely mentioned first):
- sinusitis
- dental issues
- TMJ problems
- trauma
- eye strain related headache
- trigeminal neuralgia
- migraines
More details on other features like associated symptoms such as cough and runny or stuffy nose favor sinusitis, or local swelling may favor dental related infections, the history of a trauma might favor fractures or related facial bone pains, if the pain is worse while working on computer or reading might be due to eye strain, and if it is a shooting facial pain that is triggered by touch of certain areas of the face or even brushing teeth indicates trigeminal neuralgia.
Less likely migraines can cause headache that affects the face, mostly cluster headaches affect the face.
Asking the patient on the main characteristics of the pain (LIQOR AAA) will give more information that will help add or remove diagnosis in the list and guide towards the most likely diagnosis:
L- location (already mentioned)
I- intensity of the pain 1-10 and its progression
Q- quality of pain
O- onset (how did it start, how long ago)
R- radiation (some information already mentioned)
A- aggravating factors (what makes it worse)
A- ameliorating factors (what improves the pain, any medications tried and their effect)
A- associated symptoms (fever, cough, congestion, neurological symptoms, etc)
I hope this answers to your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj, General and Family Physician
Differential diagnosis provided and some explanations as well
Detailed Answer:
Hello and welcome to "Ask a Doctor" service,
Headache worse on the facial area can be caused by the following (the most likely mentioned first):
- sinusitis
- dental issues
- TMJ problems
- trauma
- eye strain related headache
- trigeminal neuralgia
- migraines
More details on other features like associated symptoms such as cough and runny or stuffy nose favor sinusitis, or local swelling may favor dental related infections, the history of a trauma might favor fractures or related facial bone pains, if the pain is worse while working on computer or reading might be due to eye strain, and if it is a shooting facial pain that is triggered by touch of certain areas of the face or even brushing teeth indicates trigeminal neuralgia.
Less likely migraines can cause headache that affects the face, mostly cluster headaches affect the face.
Asking the patient on the main characteristics of the pain (LIQOR AAA) will give more information that will help add or remove diagnosis in the list and guide towards the most likely diagnosis:
L- location (already mentioned)
I- intensity of the pain 1-10 and its progression
Q- quality of pain
O- onset (how did it start, how long ago)
R- radiation (some information already mentioned)
A- aggravating factors (what makes it worse)
A- ameliorating factors (what improves the pain, any medications tried and their effect)
A- associated symptoms (fever, cough, congestion, neurological symptoms, etc)
I hope this answers to your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj, General and Family Physician
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
Differential diagnosis provided and some explanations as well
Detailed Answer:
Hello and welcome to "Ask a Doctor" service,
Headache worse on the facial area can be caused by the following (the most likely mentioned first):
- sinusitis
- dental issues
- TMJ problems
- trauma
- eye strain related headache
- trigeminal neuralgia
- migraines
More details on other features like associated symptoms such as cough and runny or stuffy nose favor sinusitis, or local swelling may favor dental related infections, the history of a trauma might favor fractures or related facial bone pains, if the pain is worse while working on computer or reading might be due to eye strain, and if it is a shooting facial pain that is triggered by touch of certain areas of the face or even brushing teeth indicates trigeminal neuralgia.
Less likely migraines can cause headache that affects the face, mostly cluster headaches affect the face.
Asking the patient on the main characteristics of the pain (LIQOR AAA) will give more information that will help add or remove diagnosis in the list and guide towards the most likely diagnosis:
L- location (already mentioned)
I- intensity of the pain 1-10 and its progression
Q- quality of pain
O- onset (how did it start, how long ago)
R- radiation (some information already mentioned)
A- aggravating factors (what makes it worse)
A- ameliorating factors (what improves the pain, any medications tried and their effect)
A- associated symptoms (fever, cough, congestion, neurological symptoms, etc)
I hope this answers to your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj, General and Family Physician
Differential diagnosis provided and some explanations as well
Detailed Answer:
Hello and welcome to "Ask a Doctor" service,
Headache worse on the facial area can be caused by the following (the most likely mentioned first):
- sinusitis
- dental issues
- TMJ problems
- trauma
- eye strain related headache
- trigeminal neuralgia
- migraines
More details on other features like associated symptoms such as cough and runny or stuffy nose favor sinusitis, or local swelling may favor dental related infections, the history of a trauma might favor fractures or related facial bone pains, if the pain is worse while working on computer or reading might be due to eye strain, and if it is a shooting facial pain that is triggered by touch of certain areas of the face or even brushing teeth indicates trigeminal neuralgia.
Less likely migraines can cause headache that affects the face, mostly cluster headaches affect the face.
Asking the patient on the main characteristics of the pain (LIQOR AAA) will give more information that will help add or remove diagnosis in the list and guide towards the most likely diagnosis:
L- location (already mentioned)
I- intensity of the pain 1-10 and its progression
Q- quality of pain
O- onset (how did it start, how long ago)
R- radiation (some information already mentioned)
A- aggravating factors (what makes it worse)
A- ameliorating factors (what improves the pain, any medications tried and their effect)
A- associated symptoms (fever, cough, congestion, neurological symptoms, etc)
I hope this answers to your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj, General and Family Physician
Above answer was peer-reviewed by :
Dr. Raju A.T
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