Step 2


A 40-year-old woman presents to the clinic for intermittent pain in her jaw. She has been having intermittent discomfort on the left side of her face for the last 1-2 months with frequent episodes of having a dry mouth. She has also noticed episodic swelling of her left lower jaw, as well as discomfort when opening her mouth at times. She has noted a painful area under her tongue especially when she is hungry and when she eats. Her medical history includes hypertension for which she takes hydrochlorothiazide. Her social history is significant for a 8 pack-year smoking history and drinking caffeine consistently throughout the day, usually in the form of coffee and diet sodas. Vital signs are normal, and physical examination are within normal limits, including no cervical lymphadenopathy.

Which of the following is the most likely diagnosis?

  • A) Cluster headache
  • B) Retropharyngeal abscess
  • C) Sialolithiasis
  • D) Sinusitis
  • E) Trigeminal neuralgia


Marina Tawadrous


Dr. Raj Dasgupta

Last updated

Nov 07, 2022

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