A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; further: Inspection (viewing) of skin and mucous membranes (pharynx, palate, base of tongue and tonsil region/pharyngeal tonsils). Cancer screening ENT medical examination if necessary Dental examination, if necessary
Laboratory parameters of the 2nd order – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification Small blood count Differential blood count Vitamin B12 levels, folic acid levels – if megaloblastic anemia or pernicious anemia (forms of anemia) is suspected. Ferritin levels – when iron deficiency anemia is suspected. … Tongue Pain (Glossalgia): Test and Diagnosis
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Computed tomography of the skull (cranial CT) – for further diagnosis of suspected neoplasms.
The following symptoms and complaints may occur along with Tongue pain (glossalgia): Leading symptom Tongue pain (glossalgia) or burning of the tongue (glossodynia). Associated symptoms Skin lesions Paleness of the mucous membranes Warning signs (Red flags) Anamnestic information: Child + fever + tongue pain + ulcers (boils) → think of: Hand-foot-mouth disease (HFMK; hand-foot-mouth exanthema) … Tongue Pain (Glossalgia): Symptoms, Complaints, Signs
Medical history (history of illness) represents an important component in the diagnosis of tongue pain (glossalgia). Family history What is the general health of your relatives? Are there any diseases in your family that are common? Are there any hereditary diseases in your family? Social history What is your profession? Are you exposed to harmful … Tongue Pain (Glossalgia): Medical History
Blood, blood-forming organs – immune system (D50-D90). Iron-deficiency anemia – anemia caused by iron deficiency. Immunodeficiency/deficiency → candidiasis (synonyms: candidasis; candidosis; fungal disease). Pernicious anemia – anemia (anemia) caused by a deficiency of vitamin B12 or, less commonly, folic acid deficiency. Plummer-Vinson syndrome (synonyms: sideropenic dysphagia, Paterson-Brown-Kelly syndrome) – combination of several symptoms caused by … Tongue Pain (Glossalgia): Or something else? Differential Diagnosis
