Answer Happy

1. What is one possible Primary Medical Diagnosis- with pathophysiology, etiology (cause), and the expected clinical signs and symptoms related to the primary medical diagnosis- for pain to sinuses and frequent headaches, occasional dizziness, poor appetite, headache when chew, abnormal smell to the left side of his mouth and tenderness to left maxillary sinus.
2. What laboratory and radiology procedures would we need to confirm medical diagnosis?
P.C. is a 64-year-old Muslim male who has been to the ED several times before with the same complaint he has today3-20-2022 at 10 pm. He is complaining of a pain to his sinuses and frequent headaches. He is not seen until 3-21-2022 at 0600 as the ED was extremely busy. This is his third visit to the ED for the same complaint in the last three weeks, and the ED staff are now wondering if he is "Drug Seeking" and refer to him as a frequent flyer (This label is used to categorize patients who have been to the ED several times in the past for the same problem and who seem to feel better after pain medications are administered). His wife is with him, and he has requested male nurses only as the hospital gown are short sleeved revealing his arms and stop at the knee revealing his legs which should be covered in the presence of non-family. He overheard the nurse refers to him as a "Frequent Flyer," and became upset. His wife calms him down but now he feels unsure about sharing how he feels. high cholesterol PMH: Diet controlled HTN, Hypercholesterolemia, and a Concussion at age 20 from playing hypertension PSH: Hernia repair 19 years old Social History: Denies alcohol, smoking, or using illicit drugs Medication: Simvastatin 10 mg po q hs The nurse admitting the patient to the ED today works part-time for an ENT medical practice and decides to a completed a focused HEENT assessment along with the Head-to-Toe. Here are the assessment findings are: Vitals: Temperature 99.6 degrees, Pulse: 90 bpm, Respirations: 22 bpm, Blood Pressure 126/78 mmHg. Pulse ox: 98% on R/A Allergies: Aspirin and Morphine both lead to the lips and tongue swelling plus a skin rash to extremities. Neuro: Alert and Oriented x4, Cranial nerves II-XII are grossly intact. Uses reading glasses to read fine print but no other visual impairment noted, but the patient eyes were sensitive to light bilaterally when pupils were checked. Still complaining of a headache, sinus pain, occasional dizziness, and poor appetite. Pain: Rates pain as an 8/10, The pain started three weeks ago as a mild throbbing headache after eating. The pain increases with glare and bright lights and decreases in dim light. Tylenol no longer controls the pain. HEENT: Head is normocephalic, eyes are normally spaced, nose are midline, but mouth is slightly asymmetrical with right side slightly lower than the left. Gum and buccal mucosa are dry and there is an abnormal smell to the left side of his mouth and tenderness to the left maxillary