History and examination

Author(s):  
David A. Mitchell ◽  
Laura Mitchell ◽  
Lorna McCaul

Contents. Relevant pages in other chapters. Principal sources. Listen, look, and learn. Presenting complaint. The dental history. The medical history. Medical examinatio. Examination of the head and neck. Examination of the mouth. Investigations—general. Investigations—specific. Radiology and radiography. Advanced imaging techniques. Differential diagnosis and treatment plan.

The beginning of a patient’s journey will include a history and examination of some sort. This chapter introduces the fundamentals of history taking, clinical examination, and treatment planning. The relevance of a patient’s medical, social, and dental history is highlighted with examples of key questions and considerations. A summary of a full medical examination is provided and full examinations of the head, neck, and mouth are described. Investigations, both general and specific, are detailed. Tooth notation systems and investigations are also discussed, alongside radiology, radiography, and advanced imaging techniques. The chapter ends with a suggested approach to the differential diagnosis and treatment plan.


2021 ◽  
Vol 9 ◽  
Author(s):  
Ying Xu ◽  
Fugen Han ◽  
Dongjie Seng ◽  
Lan Jiang ◽  
Shengcai Wang ◽  
...  

Objective: This study was designed to summarize the clinical characteristics, diagnosis and treatment of pharyngeal bronchogenic cysts in children to help in making the correct diagnosis and developing an appropriate treatment plan.Methods: The clinical data of 13 children with bronchogenic cysts in the pharynx, who were treated in otolaryngology head and neck surgery department between September 2013 and July 2019, were analyzed retrospectively. The clinical characteristics were evaluated, and the related factors for diagnosis and treatment were analyzed. Clinical characteristics and imaging features of three cases whose lesions located in the nasopharyngeal, oropharynx, and laryngopharyngeal were demonstrated.Results: All 13 children were male, the youngest being 4 days old, the oldest 6 years and 6 months, and the median age being 1 year and 4 months. Eight patients were diagnosed during a physical examination, and five patients visited the doctor with different degrees of upper airway obstruction. The mass was located in the nasopharynx in one patient, in the oropharynx in eight patients, and in the laryngopharynx in the other four patients. Computed tomography (CT) scanning, which is helpful for a topical diagnosis, showed a dense homogeneous mass. Electronic nasopharyngoscopy showed cystic masses of different sizes in the pharynx. All the children underwent cyst resection under general anesthesia, and the postoperative pathology result was a bronchogenic cyst. One child was lost to follow-up, but the remaining 12 children were followed up for between 6 months and 6 years, during which no recurrence of a cyst was found.Conclusion: Bronchogenic cysts are a rare cyst of the head and neck, and the most common site of the cyst is the oropharynx. The impact on airway obstruction depends on the location and size of the cyst. CT scanning is of great significance for diagnosis. Surgical treatment should be carried out as soon as possible after diagnosis, as surgery is the most effective way to treat bronchogenic cysts. Follow-ups should be carried out regularly to prevent cyst recurrence.


2017 ◽  
pp. 16-27
Author(s):  
N. Yu. Kashtanova ◽  
I. I. Pyatkova

Paragangliomas of the head and neck are extremely rare tumors. During the period of professional activity, a radiologist can meet single patients with parangliomas. So it is important to know the main diagnostic signs when meeting with such patients, вecause on-time diagnosis and treatment contribute to reduce surgical risk. The purpose of this review is to study the most common localizations of paragangliomas of head and neck and describe main visualization characteristics which are necessary for correct diagnosis and differential diagnosis.


2020 ◽  
Vol 76 (03) ◽  
pp. 6361-2020
Author(s):  
OLIWIER TEODOROWSKI ◽  
PIOTR TEODOROWSKI ◽  
MICHAŁ KIONA ◽  
MARTYNA LOSKOT ◽  
STANISŁAW WINIARCZYK ◽  
...  

Hydrocephalus is a congenital or acquired neurological disorder in dogs, associated with the excessive accumulation of cerebrospinal fluid (CSF). The factors contributing to hydrocephalus development are diverse and not always possible to determine. The aim of this article was to present two cases of the diagnosis and treatment of internal hydrocephalus in dogs. The observations included animals with neurological disorders of unknown origin. Internal hydrocephalus was diagnosed based on the results of magnetic resonance imaging, and the treatment of both patients comprised ventricular brain drainage. The surgical treatment was fully effective for one dog. For the other dog, a short-term improvement was followed by deterioration in condition due to occlusion of the ventriculoperitoneal drain, and the owners decided to euthanize the animal. The analysis of our cases led to the conclusion that congenital hydrocephalus is a disorder that challenges veterinarians in terms of diagnosis and therapy, due to limited access to advanced imaging techniques such as MRI or CT, and from the complicated nature of the surgical treatment. However, it should be noted that if the disorder is correctly diagnosed and ventricular brain drainage is adequate, the chances for successful functioning are significant.


1995 ◽  
Vol 112 (5) ◽  
pp. P152-P152
Author(s):  
David E. Tunkel ◽  
Steven Kelly

Educational objectives: To understand differential diagnosis of head and neck masses in young children, to employ cost and time-efficient evaluation, and to understand medical and surgical therapies of congenital and inflammatory neck masses in children.


Skull Base ◽  
2007 ◽  
Vol 16 (S 2) ◽  
Author(s):  
Anna Papadopoulou ◽  
Apostolos Papadopoulos ◽  
Giorgos Tzindros ◽  
Nikolaos Marangos

2020 ◽  
Vol 4 (1) ◽  
pp. 26-33
Author(s):  
Galuh Ayu Treswari ◽  
Bambang Soeprijanto ◽  
Indrastuti Normahayu ◽  
Lenny Violetta

Wilms’ tumor is the most frequent renal malignancy in childhood with the highest incidence per year, approximately 7,8 cases per 1.000.000in children under 15 years-old and frequently occurred in 2-5 years of age (highest incidences in 3 years-old). There are many differential diagnosis of intra-abdominal tumors and the correct differential diagnosis are detrimental to the prescribed treatments for the patients.Medical imaging along with pathology reports is a precise way to determine the appropriate diagnosis and treatment. Imaging gives information about tumor extension and distant metastasis, especially useful for indicating pre-operative chemotherapy.


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