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Jean, aged 76 years, presents with a four-week history of episodes of ‘unbearable’ pain over the right zygomatic region. The pain radiates to the right maxilla. She is incredibly distressed by these
episodes. Her medications are rosuvastatin 10 mg for dyslipidaemia and ramipril 2.5 mg daily for
hypertension. 1. What is the possible differential diagnosis for Jean’s facial pain? 2. What aspects of a pain history are important when diagnosing orofacial pain? 3. What diagnoses would you consider? 4. What will the dentist do to make a diagnosis? 5. What is your diagnosis based on this information? 6. What further investigations or assessment should be undertaken? 7. How will you manage Jean’s pain? What monitoring is required? 8. What is the prognosis for Jean? 9. What are her other management options? #Week27_Case1
Tom, an Aboriginal male aged 46 years, has diabetes and hypertension but has not been attending medical appointments for regular review and monitoring. Tom has been feeling increasingly tired and has low libido. When yarning (an informal and respectful conversation) at a local community meeting, Tom was encouraged to visit the locum doctor by a trusted friend and mentor. 1. How do you build rapport and establish trust with Tom, respecting and valuing Aboriginal and Torres Strait Islander culture? 2. How could you initiate a discussion with Tom about ‘men’s business’? 3. What are some of the barriers Tom faces in seeking support in the healthcare system? 4. What Medicare Benefits Schedule items numbers can be used to support the delivery of care to Tom? #Week26_Case6
https://www.lifespan.org/sites/default/files/lifespan-files/documents/centers/body-dysmorphic/bddq.pdf #Body_Dysmorphic_Disorder_Questionnare
