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Facial pain may be caused by temporomandibular joint dysfunction in patients with malocclusion, abnormal bite, or faulty dentures There may be tenderness of the masticatory muscles, and an association between pain onset and jaw movement is sometimes noted This pattern differs from that of jaw (masticatory) claudication, a symptom of giant cell arteritis, in which pain develops progressively with mastication Treatment of the underlying joint dysfunction relieves symptoms A relationship of facial pain to chewing or temperature changes may suggest a dental disturbance The cause is sometimes not obvious, and diagnosis requires careful dental examination and x-rays Sinusitis and ear infections causing facial pain are usually recognized by the history of respiratory tract infection, fever, and, in some instances, aural discharge There may be localized tenderness Radiologic evidence of sinus infection or mastoiditis is confirmatory Glaucoma is an important ocular cause of facial pain, usually localized to the periorbital region On occasion, pain in the jaw may be the principal manifestation of angina pectoris Precipitation by exertion and radiation to more typical areas establish the cardiac origin

Glossopharyngeal neuralgia is an uncommon disorder in which pain similar in quality to that in trigeminal neuralgia occurs in the throat, about the tonsillar fossa, and sometimes deep in the ear and at the back of the tongue The pain may be precipitated by swallowing, chewing, talking, or yawning and is sometimes accompanied by syncope In most instances, no underlying structural abnormality is present; multiple sclerosis is sometimes responsible Oxcarbazepine and carbamazepine (see Table 24 3) are the treatments of choice and should be tried before any surgical procedures are considered Microvascular decompression is generally preferred over destructive surgical procedures such as partial rhizotomy in medically refractory cases and is often effective without causing severe complications

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Common infections that occur with greater frequency in drug users include: Skin infections, aspiration pneumonia, tuberculosis Hepatitis A, B, C, D; STDs; AIDS Pulmonary septic emboli, infective endocarditis, osteomyelitis, and septic arthritis Rare infections in the United States include tetanus, malaria, and melioidosis

The use of parenterally administered recreational drugs has increased enormously in recent years There are now an estimated 300,000 or more injection drug users in the United States

Skin infections are associated with poor hygiene and use of nonsterile technique when injecting drugs S aureus (including methicillin-resistant strains) and oral flora (streptococci, Eikenella, Fusobacterium, Peptostreptococcus) are the most common organisms, with enteric gram-negatives less common and seen in those who inject into the groin Cellulitis and subcutaneous abscesses occur most commonly, particularly in association with subcutaneous ( skin-popping ) or intramuscular injections and the use of cocaine and heroin mixtures

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We ll use the following scenario to create the billing document: We have created five sales orders for a single payer/customer Of these five sales orders, we have created two deliveries due to the fact that the shipping point on one of the sales orders was different (Three sales orders could be on one delivery document and two on the other, or four on one delivery document and one on the other) Now we have the scenario whereby two deliveries of delivery type LF are to be billed Looking at the copy control rules from delivery type LF to billing document type F2, as seen in Figure 7-5, we may select the relevant copy control rules Select the document types, then click the Details button (the small magnify glass) in the taskbar You will see a screen similar to Figure 7-6 The target and source document types are self-explanatory The copying requirements assign a number, which in turn is the key to a routine The routine may be found in transaction code [VOFM] (Menu path: Copying Requirements | Billing Documents) We ll discuss more about VOFM later The routine 003, which actually includes LV60A003, is used to check specific blocks and statuses to determine if the billing document may be created The blocks and statuses it checks are as follows: Billing block Billing status Goods movement status Incompletion status for billing header Overall incompletion status for billing document POD (proof of delivery) status The determine export data field is used to redetermine the export control (foreign trade data) automatically in the billing document The reference number is passed to accounting The allocation number is similar to the reference number Both of these numbers may have defaults assigned to them on the billing document type For self-billing, the value of this field must be equal to a C, meaning the delivery number is used as a reference However, this also means that the delivery number will be passed to accounting as the reference field The system therefore cannot combine deliveries like in a collective invoice as it does not know what number to use as a reference.

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