Infection Symposium

Question 1

why does infection often go buccally

Answer 1

buccal bone is thinner

Question 2

where would you see swelling if it was in the buccal space

Answer 2

cheek

Question 3

what swellings are more concerning

Answer 3

sublingual/submandibular

Question 4

what are the signs that an infection is spreading to the airway

Answer 4

difficulty swallowing
feeling like tongue is in the roof of mouth

Question 5

what are the signs of sublingual swelling

Answer 5

firmness
raised floor of mouth

Question 6

what are the signs of submandibular swelling

Answer 6

cannot feel angle/border of mandible

Question 7

what are the signs of sub-masseteric infection

Answer 7

trismus

Question 8

why is it important to go straight to hospital for a submasseteric infection with trismus

Answer 8

the airway is compromised

Question 9

what teeth tend to drain to the palate

Answer 9

lateral incisors

Question 10

what is a sign of a pharyngeal infection

Answer 10

uvula pushed to one side

Question 11

what do you examine when examining someone with a swelling

Answer 11

lymph nodes
border/angle of mandible
buccal space
temperature of infectious area
zygoma below eye
is it firm or fluctuant

Question 12

what are the warning signs

Answer 12

increased respiratory rate
high temperature
high pulse
struggling to breathe
struggling to open mouth
difficulty swallowing - drooling

Question 13

what do you do when you want to refer to the hospital

Answer 13

phone hospital with OMFS in it
ask for on call person
tell patient information and examination findings

Question 14

if you incise and drain what is the aftercare

Answer 14

hot salty water 3x a day

Question 15

what does SIRS stand for

Answer 15

systemic inflammatory response system

Question 16

what is neutropenic sepsis

Answer 16

sepsis symptoms in patients with neutrophil count less than 0.5

Question 17

to do dentistry, what does the neutrophil count have to be

Answer 17

1

Question 18

what groups are at risk of sepsis

Answer 18

cancer patients
diabetics
over 70s
immunocompromised
surgery over last 6 weeks
IV drug users
long term catheter users

Question 19

what people have low neutrophil count

Answer 19

cancer patients
stem cell transplant
methotrexate

Question 20

what are the risks of prescribing

Answer 20

interactions
allergies
costs
antibiotic resistance

Question 21

why is it better to give pen V than amoxicillin

Answer 21

narrower spectrum than amoxicillin
first line drug

Question 22

what do you need to be careful with metronidazole

Answer 22

warfarin and alcohol

Question 23

if you take an aspiration biopsy what do you ask the lab for

Answer 23

culture sensitivity test

Question 24

what things do we send to hospital

Answer 24

trismus due to infection
submandibular swelling
submental swelling
SEPSIS signs
deviation of uvula/tonsillar issue
black or purple swelling

Question 25

what is the Hilton technique

Answer 25

once you incise you insert scissors and widen the abscess

Question 26

what does the hilton technique aim to do

Answer 26

separated lobulated bits of pus