Approach to facial pain/TMJ

Question 1

HPI acronym for eval of tmj pain

Answer 1

OLD CARTS
-onset
-location
-duration
-character
-aggravating/associated symtoms
-relieving
-timing
-severity

Question 2

Mahan’s sign

Answer 2

working side loaded w/ tongue blades on contralateral canines. If there is ipsilateral pre auricular pain then there is an internal derangement of the ipsilateral joint.

Question 3

physical exam of TMJ

Answer 3

Mahan’s sign
auscultation to assess for clicks and crepitus

Question 4

TMJ arthrogram is used for

Answer 4

visualize position of disk and assess for perforations