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Differential Diagnosis for Jaw Pain and Swollen Glands

Single Most Likely Diagnosis

  • Viral Pharyngitis: The patient's complaint of jaw pain and swollen glands radiating under the right ear for 3 days is suggestive of a viral infection, such as mononucleosis or a common cold, which often presents with lymphadenopathy and pain in the jaw and throat area.

Other Likely Diagnoses

  • Dental Abscess or Infection: Tooth infections can cause referred pain to the jaw and ear, along with swelling of the lymph nodes in the neck.
  • Sinusitis: Inflammation of the sinuses can cause pain in the face, including the jaw, and may lead to swollen lymph nodes.
  • Temporomandibular Joint (TMJ) Disorder: TMJ disorders can cause jaw pain and may be associated with swelling in the lymph nodes if there is an inflammatory component.

Do Not Miss Diagnoses

  • Lymphoma: Although less common, lymphoma can present with lymphadenopathy (swollen lymph nodes) and should not be missed due to its serious implications.
  • Parotid Gland Tumor: Tumors of the parotid gland, whether benign or malignant, can cause swelling in the area of the jaw and ear, along with pain.
  • Mastoiditis: An infection of the mastoid bone in the skull can cause pain behind the ear and jaw, along with swelling and is a serious condition that requires prompt treatment.

Rare Diagnoses

  • Sialadenitis: Inflammation of the salivary glands can cause pain and swelling in the jaw area but is less common compared to other diagnoses.
  • Osteomyelitis of the Jaw: A bone infection in the jaw can cause severe pain and swelling but is relatively rare.
  • Neurogenic Tumors: Tumors originating from nerve tissue can cause pain and swelling in the jaw and ear area but are uncommon.

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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