Papime

A patient visits Dr. Ander Monroy because they have been experiencing pain when opening their mouth and difficulty speaking and eating. The doctor asks about their family's medical history, diet, substance use, oral hygiene, and overall health. The patient reveals that they have high blood pressure in their family, eat street food, smoke cigarettes, and occasionally drink alcohol. The doctor examines the patient's mouth and determines that the problem is with their temporomandibular joint. They prescribe medication for the pain and request a panoramic x-ray for further diagnosis. The doctor also advises the patient to see their doctor for an evaluation of their high blood pressure, as it can lead to complications. The patient follows the doctor's advice and discovers they have high blood pressure, for which they are prescribed medication. The patient mentions experiencing dry mouth and pain in their mouth again. The doctor reassures them that their problem is under control. Good afternoon. I'm Dr. Ander Monroy. Good afternoon, doctor. I have an appointment. Yes, of course. Come in and take a seat. What's the reason for your visit? It hurts when I open my mouth. I haven't been able to speak or eat well this week. Oh, I see. Let's start with some questions to understand your condition. Yes, it's okay, doctor. Good afternoon. I'm Dr. Ander Monroy. Good afternoon, doctor. I have an appointment. Yes, of course. Come in and take a seat. What's the reason for your visit? It hurts when I open my mouth. I haven't been able to speak or eat well this week. Oh, I see. Let's start with some questions to understand your condition. Yes, it's okay, doctor. To understand. Good afternoon. I'm Dr. Ander Monroy. Good afternoon, doctor. I have an appointment. Yes, of course. Come in and take a seat. What's the reason for your visit? It hurts when I open my mouth. I haven't been able to speak or eat well this week. Oh, I see. Let's start with some questions to understand your condition. Yes, it's okay, doctor. Good afternoon. I'm Dr. Ander Monroy. Good afternoon, doctor. I have an appointment. Yes, of course. Come in and take a seat. What's the reason for your visit? It hurts when I open my mouth. I haven't been able to speak or eat well this week. Oh, I see. Let's start with some questions to understand your condition. Yes, it's okay, doctor. I'm going to ask you a few questions about the diseases carried by your family. For example, does anyone in your family suffer from high blood pressure? Yes, my mom and my father's mother. Tell me about your diet. Well, I usually eat street food like tacos, gorditas, pozole, pambazos, and I usually drink coffee and soda. I work 12 hours a day and I do not have time to prepare my meals. Do you use alcohol, tobacco, or any other substance? Yes, I smoke five cigarettes every day and I occasionally drink alcohol. I see. Tell me about your oral hygiene. I wash my teeth twice a day with some toothpaste, once in the morning and once at night after dinner. Do you have any diagnosis disease that requires medical treatment? Not that I know, doctor. Now, tell me, how are you feeling these days? Tired. I have a very stressful job. I have headaches. I think I clenched my teeth and at the end of the day I feel my face is tightened. Besides, lately I think I see tiny lights, but I'm not rubbing my eyes. I hear buzzing in my ears and my nose bleeds occasionally. Since when do you have these problems? I think they started about six months ago. Okay. Let's do the physical examination first. Yes, doctor. It's okay. I'm going to check your vital signs. When your doctor checks your blood pressure, is it high? Well, previously my blood pressure was high. If you allow me, I'm going to do your oral exploration. Can you open your mouth? Oh, I see no problems with your teeth, gums and mucosa. Your problem comes from the temporomandibular joint. I'm going to give you something for the pain and I want a panoramic x-ray to confirm the diagnosis. Uh-huh. According to your previous history and the new findings, you have a very high blood pressure. According to your previous history and the new findings, I am going to send you for an evaluation with your doctor to discover any systemic arterial hypertension. This condition can cause significant complications. I had no idea. I'm going to see my doctor this week. Perfect. Here's your prescription. Let me know when you see your doctor for an appointment. Good morning, Mr. Smith. How do you feel today? Better. I went to the doctor and he told me I have high blood pressure. The doctor prescribed Lausaran with hydroxyapatite twice a day. It is just that lately I feel my mouth is dry. And I have a pain again when I open and close my mouth. I'm glad your problem is under control.