Mouth: Dental abscess

Question 1

Patient presents with a significant sore throat, pain with swelling, and deviation of the uvula (with asymmetrical rise) and a “hot potato” voice. What is your diagnosis?

Answer 1

Peritonsillar abscess

Question 2

How do you treat peritonsillar abscess?

Answer 2

Aspiration, I&D, and antibiotics. Possible refer for tonsillectomy.

Question 3

What type of pharcological agent would you prescribe?

Answer 3

Amoxicillin or clinda

Question 4

Patient has no dental coverage and presents with sensitivity to foods and is not eating. He has been bleeding from his gums and and has tooth pain. Your thoughts?

Answer 4

Dental Abscess

Question 5

What is the etiology of a dental abscess?

Answer 5

Bacteria from the mouth/tooth cause a localized collection of pus & infection that surrounds the tooth.

Question 6

What are some risk factors associated with Dental Abscesses?

Answer 6

Poor hygiene, tooth loss, and dehydration

Question 7

What would be the lab findings from a dental abscess?

Answer 7

Leukocytosis & neutrophils

Question 8

How do you treat a dental abscess?

Answer 8

ABX & aspirate/drain