Infection Symposium Flashcards
why does infection often go buccally
buccal bone is thinner
where would you see swelling if it was in the buccal space
cheek
what swellings are more concerning
sublingual/submandibular
what are the signs that an infection is spreading to the airway
difficulty swallowing
feeling like tongue is in the roof of mouth
what are the signs of sublingual swelling
firmness
raised floor of mouth
what are the signs of submandibular swelling
cannot feel angle/border of mandible
what are the signs of sub-masseteric infection
trismus
why is it important to go straight to hospital for a submasseteric infection with trismus
the airway is compromised
what teeth tend to drain to the palate
lateral incisors
what is a sign of a pharyngeal infection
uvula pushed to one side
what do you examine when examining someone with a swelling
lymph nodes
border/angle of mandible
buccal space
temperature of infectious area
zygoma below eye
is it firm or fluctuant
what are the warning signs
increased respiratory rate
high temperature
high pulse
struggling to breathe
struggling to open mouth
difficulty swallowing - drooling
what do you do when you want to refer to the hospital
phone hospital with OMFS in it
ask for on call person
tell patient information and examination findings
if you incise and drain what is the aftercare
hot salty water 3x a day
what does SIRS stand for
systemic inflammatory response system
what is neutropenic sepsis
sepsis symptoms in patients with neutrophil count less than 0.5
to do dentistry, what does the neutrophil count have to be
1
what groups are at risk of sepsis
cancer patients
diabetics
over 70s
immunocompromised
surgery over last 6 weeks
IV drug users
long term catheter users
what people have low neutrophil count
cancer patients
stem cell transplant
methotrexate
what are the risks of prescribing
interactions
allergies
costs
antibiotic resistance
why is it better to give pen V than amoxicillin
narrower spectrum than amoxicillin
first line drug
what do you need to be careful with metronidazole
warfarin and alcohol
if you take an aspiration biopsy what do you ask the lab for
culture sensitivity test
what things do we send to hospital
trismus due to infection
submandibular swelling
submental swelling
SEPSIS signs
deviation of uvula/tonsillar issue
black or purple swelling
what is the Hilton technique
once you incise you insert scissors and widen the abscess
what does the hilton technique aim to do
separated lobulated bits of pus
