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Eagle syndrome (also termed stylohyoid syndrome, [1] styloid syndrome, [2] stylalgia, [3] styloid-stylohyoid syndrome, [2] or styloid–carotid artery syndrome) [4] is an uncommon condition commonly characterized but not limited to sudden, sharp nerve-like pain in the jaw bone and joint, back of the throat, and base of the tongue, triggered by swallowing, moving the jaw, or turning the neck. [1]
As globus sensation is a symptom, a diagnosis of globus pharyngis is typically a diagnosis of exclusion.If globus sensation is presenting with other symptoms such as pain, swallowing disorders such as aspiration or regurgitation (dysphagia), weight loss, or voice change, [10] an organic cause needs to be investigated, typically with endoscopy.
Pneumoparotitis is often misdiagnosed and incorrectly managed. [5] The diagnosis is based mainly on the history. [1] Crepitus may be elicited on palpation of the parotid swelling, [1] and massaging the gland may give rise to frothy saliva or air bubbles from the parotid papilla. [1]
Palpation is the use of physical touch during examination. During palpation, the physician checks for areas of tenderness, abnormalities of the skin, respiratory expansion and fremitus. [14] To assess areas of tenderness, palpate areas of pain, bruises, or lesions on the front and back of the chest.
Palpation of temporomandibular joint, thyroid, and lymph nodes; Percussion may involve the skin above the frontal sinuses and paranasal sinuses to detect any signs of pain; Auscultation for carotid bruits; Tests specific to HEENT examination Eyes: eye examination and acuity (including ophthalmoscope)
The assessment begins with a dental-health questionnaire, including questions about toothache, hoarseness, dysphagia (difficulty swallowing), altered taste or a frequent sore throat, current and previous tobacco use and alcohol consumption and any sores, lesions or bleeding of the gums.
The temporal styloid process is a slender bony process of the temporal bone extending downward and forward from the undersurface of the temporal bone [1] just below the ear. [citation needed] The styloid process gives attachments to several muscles, and ligaments.
As the lymph nodes may be buried, asking the patient to perform the Valsalva maneuver can push the cupola of the lung upward, bringing deep-seated nodes to a more accessible position for palpation. [22] Palpation may identify an enlargement of the supraclavicular lymph nodes, a diagnostic indicator of cancer.