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NEURO 2 - Coggle Diagram

- - - - Dry mouth-itching-burning
      - WHERE : Tip tongue + Palate
      - 1ST : Rule out dental cause : RADIO / Also Lichen planus and Burning lesions
        
        Rule out deficiencies too
        
        Ac folic - Vit B12
        
        Glycemia
        
        HB
        
        Culture
        
        SO IF ABNORMAL = Not BMS but could be (DD) :
        
        LPO
        
        Xerostomia
        
        Candidiasis
        
        Contact Stomatitis
        
        Geographic Tongue
        
        Teeth/Prostheses
      - Psychological factors
        
        Anxiety-Depression-Chronic pain-Cancerophobia-emotional
        
        MORE COMMON female over 50Y = Oestrogens decrease due to Menopause
      - Tissue is HEALTHY = Just a central affectation of nervous system
      - 3 TYPES
        
        2) EVERYday form awakening- Same intensity (55%)
        
        3) Somedays and variable Intensity
        
        1) EVERYday - Asymptomatic when wake up BUT INCREASE during the day =
        
        Something emotional can trigger !
        
        Usually emotional moment trigger this syndrome
        
        So you ask to Patient
        
        Then you can ask for lab test for vit deficiency or watevs
        
        So asymptomatic bcs tissue is healthy but the anxiety makes feel the patient burning
    - - If FIND etiology = Refers to Psychologist
      - Psychological Factors = Treat with Anxiolitics : BENZODIAZEPINES-RIVOTRIL and Antidepressants : TRICYCLICS
- - - - MIGRAINE (=JAQUECA)
        
        SYMPTOMS
        
        Hemicranial
        
        More women
        
        60% Family history
        
        Triggers by : Premenstrual-Food-Alcohol-Fatigue-Contraceptive-Aviators(sudden change barometric)-Perfectionist people = KAYOU
        
        PRODROME effect = They know it's gonna happen : Shinny lights
        
        CLASSIC MIGRAINE
        
        TT
        
        PAIN KILLERS : AAS-Paracetamol-Codeine...
        
        Prophylaxis : Propanolol-Calcium Antagonist(Verapamil)