Question

A 55 year old man comes to office for follow up due to recurrent episodes of jaw pain. Pt most recent episode was a week ago. Pain that worsened by eating, and a tender mass under the left jaw and fever. All symptoms resolved within a few days with oral antibiotics. This is the third episode in the last year. What os the underlying condition? A- Giant cell arteritis B- Sialolithiasis C- Sjogren syndrome D- Temporomandibular joint disease E- Trigeminal neuralgia

Answer 1

The underlying condition in this case is Sialolithiasis, which causes recurrent jaw pain and a tender mass under the jaw. Oral antibiotics can help resolve the symptoms, but further evaluation may be necessary for recurrent episodes.

Step-by-step explanation:

The underlying condition in this case is Sialolithiasis, also known as salivary gland stone. This condition occurs when there is a blockage or stone formation in the salivary gland or its ducts. The symptoms of recurrent episodes of jaw pain, pain worsened by eating, a tender mass under the left jaw, and fever are consistent with this condition.

Sialolithiasis commonly affects the submandibular gland, which is located under the jaw. The blockage of the gland or its ducts can lead to the formation of a tender mass and cause episodes of pain, especially when eating. Oral antibiotics can help resolve the symptoms, but recurrent episodes may require further evaluation and treatment.

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Answer 2

The 55-year-old man's recurrent episodes of jaw pain, worsened with eating, fever and a tender mass, all resolving with oral antibiotics, point to Sialolithiasis, a condition marked by stones blocking salivary glands.

Step-by-step explanation:

The symptoms described in the scenario - episodes of jaw pain worsened by eating, a tender mass under the left jaw, and fever that resolves with oral antibiotics, most likely suggest B- Sialolithiasis. This condition is characterized by the formation of stones within the salivary glands. These stones can block the flow of saliva, leading to pain and swelling, especially during meals when saliva production increases.

Learn more about Sialolithiasis