SWELLING - examination and diagnosis.pptx

examination of pt presented with facial swelling

1. SWELLING

2. HISTORY TAKING CHIEF COMPLAIN HPC PMHX *DETERMINE THE PROGRESSION, SOURCE, LOCATION

3. EXAMINATION GENERAL CONDITION EXTRAORAL EXAMINATION INTRAORAL EXAMINATION

4. INVESTIGATION REFLO DENTAL: EPT, IOPA, OPG BLD IX: FBC/RP/LFT AIRWAY ASSESSMENT FURTHER IMAGING

5. MANAGEMENT PT STABLE? NOT STABLE? LOCATION/ EXTENT OF SWELLING? MEDICALLY COMPROMISED? REQUIRE I&D? XLA MEDICATION

6. CASE SCENARIO 1 32/M/FEMALE UNDERLYING: DM, HPT PRESENTED WITH C/O PAIN AND SWELLING SINCE 3/7 ASSOCIATED WITH SHORTNESS OF BREATH, CHEST PAIN ODYNOPHAGIA, DYSPHAGIA HOARSENES OF VOICE TOOTHACHE

7. CASE SCENARIO 2 20/M/M NKMI/NKDA PRESENTED WITH C/O SWELLING AND PAIN SINCE 5/7 ASSOCIATED WITH TOOTHACHE NO ODYNOPHAGIA, NO DYSPHAGIA PAIN AT SWELLING SITE WHEN SWALLOW AND EATING LIMITED MOUTH OPENING

8. CASE SCENARIO 3 30/M/F U/L DM C/O: PAIN AND SWELLING SINCE YESTERDAY

9. CASE SCENARIO 4 79/C/F U/L DM, HPT, IHD C/O SWELLING OVER FACE SINCE 2 DAYS AGO ASSOCIATED WITH DIFFICUTIES IN BREATHING FULLY EDENTULOUS

10. CASE SCENARIO 5 25/M/F NKMI C/O SEVERE TOOTHACHE AT UPPER LEFT FRONT TEETH REGION 2 ND EPISODE OF PAIN HAD PREVIOUS HX OF SWELLING, RESOLVED AFTER TAKING ANTIBIOTICS

11. TAKEAWAY EARLY MANAGEMENT OF SWELLING ANTIBIOTICS MAY NOT ALWAYS WORK, MANAGE TO SOURCE KNOW THE UNDERLYING MEDICAL CONDITION AND ITS SIGNIFICANCE