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Differential Diagnosis for Right Sided Facial Pain in an 18-Year-Old Female

Single Most Likely Diagnosis

  • Tension Headache: This is often the most common cause of facial pain in young adults, characterized by a dull, aching sensation, usually bilateral but can be unilateral, and is associated with muscle tension.

Other Likely Diagnoses

  • Migraine: Can cause unilateral facial pain, often accompanied by other symptoms such as nausea, vomiting, photophobia, and phonophobia.
  • Trigeminal Neuralgia: Although less common in young adults, it can cause severe, sharp, stabbing pain in one side of the face, typically triggered by light touch or eating.
  • Sinusitis: Inflammation of the sinuses can cause facial pain, especially if the maxillary or frontal sinuses are involved, often accompanied by nasal congestion and purulent discharge.
  • Temporomandibular Joint (TMJ) Disorder: Can cause pain in the jaw and face, often associated with clicking of the jaw, difficulty chewing, and jaw tenderness.

Do Not Miss Diagnoses

  • Acute Angle-Closure Glaucoma: A medical emergency that can cause severe, unilateral facial pain, typically around the eye, accompanied by blurred vision, nausea, and vomiting.
  • Cavernous Sinus Thrombosis: A rare but potentially life-threatening condition that can cause facial pain, especially if accompanied by symptoms such as fever, ptosis, and ophthalmoplegia.
  • Multiple Sclerosis: Although rare, can present with facial pain, especially if associated with other neurological symptoms such as numbness, weakness, or visual disturbances.

Rare Diagnoses

  • Raeder's Syndrome: A rare condition characterized by unilateral facial pain, ptosis, and miosis, often associated with a Horner's syndrome.
  • Eagle's Syndrome: Caused by an elongated styloid process, can cause sharp, stabbing pain in the face and throat, often triggered by swallowing.
  • Glossopharyngeal Neuralgia: A rare condition that can cause sharp, stabbing pain in the throat and face, often triggered by swallowing or chewing.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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