Presentation Patients present with a painful sensation of the tongue or mouth. The pain is variably described as a burning, tingling, hot, scalded, or numb sensation, the magnitude of which is similar to a toothache. The sensation occurs most commonly…
Presentation The patient may have had an extraction or other dental surgery performed earlier in the day and now has excessive bleeding at the site and is unable to visit the dentist. The patient may also be using aspirin, warfarin,…
Presentation After a direct blow to the mouth, the patient, usually a child 7 to 9 years old, may have a permanent tooth that has been completely knocked out of its socket (avulsion) ( Fig. 43.1 ). The tooth is…
Presentation Patients present with a painful lesion in their mouth, often worried about having herpes. Lesions may interfere with eating, speaking, or swallowing. Minor oral trauma from dental appliances, dentures, and orthodontic hardware may be causative, or patients may inadvertently…
Presentation After a viral infection or with chronic allergies, the patient may complain of a dull facial pain, which is usually unilateral, gradually increases over a couple of days, is exacerbated by sudden motion of the head or bending over…
Presentation In allergic rhinitis , patients typically complain of rhinorrhea (“runny nose”), nasal congestion, sneezing, nasal itching, and “itchy eyes.” There may be a problem with sleep disturbance (from nasal congestion), malaise, fatigue, irritability, and neurocognitive deficits. Typically patients with…
Presentation The patient with bacterial pharyngitis complains of a rapid onset of throat pain worsened by swallowing. There is usually sudden onset of the following: fever; pharyngeal erythema; edematous uvula; palatine petechiae ( Fig. 39.1 ); purulent, patchy yellow, gray,…
Presentation The patient experiences ear pain after barotrauma, such as a blow or slap on the ear, an exploding firecracker, a fall while water skiing or during a deep-water dive, or after direct trauma inflicted with a sharp object, such…
Presentation After an upper respiratory tract infection, an episode of acute otitis media (AOM), an airplane flight, or during a bout of allergies, an adult may complain of a feeling of fullness in the ears, an inability to equalize middle…
Presentation In acute otitis media (AOM), adults and older children will complain of ear pain (and/or fever) that is usually rapid in onset. There may or may not be accompanying symptoms of upper respiratory tract infection. In the younger child…