NR 603 Week 1 Compare and Contrast Discussion; Trigeminal Neuralgia and Giant Cell Arteritis

  • NR 603 Week 1 Compare and Contrast Discussion; Trigeminal Neuralgia and Giant Cell Arteritis
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Institution NR 603 Advanced Clinical Diagnosis and Practice Across the Lifespan
Contributor Sharonda

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Trigeminal Neuralgia and Giant Cell Arteritis

During week one, the comparisons of Trigeminal Neuralgia and Giant Cell Arteritis is discussed. These diseases have similar and dissimilar signs and symptoms. This discussion will compare and contrast areas on presentation, pathophysiology, assessment, diagnosis, and treatment of both issues. Overall, a thorough history and physical exam will be needed to determine a definitive diagnosis.

Trigeminal neuralgia (TN) presents as a chronic condition invading the trigeminal nerve. This nerve carries sensation impulses from the face to the brain.  Slightly affected sensations can trigger a sudden experience of excruciating pain. The pain attacks can last for a short period or can progress to more frequent periods of agonizing pain. There are many treatment options, and the patient will not have to suffer from pain (Zakrzewska & Linskey, 2016)………………

 

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The comparison and contrast of GCA and TN are interesting to review. Both disease present with sudden pain, one originates in the jaw and the other as a headache. They are very different in pathology because TN relates to nerve compression as GCA is a result of inflammation in the blood vessels. Providers will assess both issues by a collection of medical history, symptoms present, and a detailed assessment focusing on neurological deficits. The diagnosis is simpler for TN and GCA requires imagining and blood work to identify. In the end, both diseases require different treatment and are important to start early for the best possible patient outcome.

References

Koster, M. J., Matteson, E. L., & Warrington, K. J. (2018). Large-vessel giant cell arteritis: diagnosis, monitoring, and management. Rheumatology57(suppl_2), ii32-ii42. doi:10.1093/rheumatology/kex424

Roberts, J., & Clifford, A. (2017). Update on the management of giant cell arteritis. Therapeutic Advances in Chronic Disease8(4), 69-79. Retrieved from https://doi.org/10.1177/2040622317700089

Vasappa, C. K., Kapur, S., & Krovvidi, H. (2016). Trigeminal neuralgia. BJA Education16(10), 353–356. Retrieved from https://doi.org/10.1093/bjaed/mkw015

Zakrzewska, J. M., & Linskey, M. E. (2016). Trigeminal Neuralgia. American Family Physician94(2), 133-135. Retrieved from https://www.aafp.org/afp/2016/0715/p133.html

 

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Instituition / Term
Term Fall Semester
Institution NR 603 Advanced Clinical Diagnosis and Practice Across the Lifespan
Contributor Sharonda
 

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