Facial pain differential
1 Jul Summary. The diagnosis and management of facial pain below the eye can be very different dependant on whether the patient visits a dentist.
Diagnostic Considerations
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Br J Anaesth. Jul;(1) doi: /bja/aet Differential diagnosis of facial pain and guidelines for management. Zakrzewska JM(1).
Description:The pain is described on the MPQ as boring, sharp, gnawing, tugging, aching, tender, tiring, wretched, miserable, radiating, and nagging. The presence of tenderness and hypersensitivity over the superficial temporal artery, together with a raised erythrocyte sedimentation rate ESR , warrants immediate commencement of oral prednisolone commonly 50 mg daily. It must always be remembered that facial pain can be secondary to primary cancer or a metastasis from elsewhere. Chronic facial pain can be unilateral or bilateral and continuous or episodic.
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