Neuralgia
Hypothyroid
Headache/face pain
Dental History
Psychiatric Manifestations/Micellaneous
100

What nervous system complication is common in those with hypothyroid especially if it is not well controlled for long periods of time?

100

Which part of the patient's history is most likely indicative of a cause for her poor dental history?

100

The alternate name of the patient's most likely diagnosis is _______?

200

What viruses are most often associated with different forms of trigeminal nerve pain?

VZV, HSV, and EBV are common viral causes of trigeminal nerve pain.

https://www.mayoclinic.org/diseases-conditions/trigeminal-neuralgia/symptoms-causes/syc-20353344

200

What finding from this patient's history is especially unusual given her history of hypothyroidism and may be alarming in her given this history?

Significant Recent Weight Loss 


https://pubmed.ncbi.nlm.nih.gov/28336049/

200

In which other common presentation of Headache is the trigeminal nerve extensively involved? What molecule is released here to elicit this pain?

200

What other test outside of the main complaint would be recommended for the patient based on her #1 risk factor for her poor dental health?

The patient has a 20 pack year history and is over 50 years of age meaning a chest X-ray for lung cancer would be recommended.

https://www.cdc.gov/cancer/lung/basic_info/screening.htm


200

What is one of the patient's previous risk factors that put her at risk for depression excluding her current complaint? What was one clue that her risk factor may not have been well controlled?

Hypothyroidism which has been shown to be linked to depression especially if not well controlled over long periods of time.

Patient showed some level of cold intolerance showing her hypothyroid may not be well controlled.


Samuels MH.Psychiatric and cognitive manifestations of hypothyroidism. Curr Opin Endocrinol Diabetes Obes. 2014;21(5):377–383. 

300

What is a syndrome associated mostly with pregnancy/postpartum state that could lead to symptoms of intense headached, vomiting, and eventual hypothyroidism?

300

What component of the patient's family history could be  a risk factor for her poor dental history? Why is this?

Father who died of esophageal cancer which has Barrett Esophagus as a possible cause. Barrett esophagus has been shown to have familial links and risk factors.

https://academic.oup.com/gastro/article/1/1/9/575881?login=false

300

What famous drummer has been diagnosed with TRigeminal Neuralgia?

(Hint: THe band he drummed for has to do with the Eye)

Travis Barker!

THe drummer for BLINK 182

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