Wednesday, December 21, 2011

Ludwig Angina

Ludwig Angina

- Deep room guitar neck an infection involving the submandibular, submental, along with sublingual places.

- Usually odontogenic inside source (molars mostly) and immunocompromised (diabetics)

- Mixed aerobic along with anaerobic etiology

SYMPTOMS/EXAM

- Brawny induration of the flooring of the oral cavity (classic)

- Bilateral bloating

- Ache, edema, trismus, and also ogling

- Dysphonia and dysphagia

- Language displaces posteriorly along with superior, that might lead to throat give up.

- Nausea, dangerous appearance

Prognosis

- Specialized medical

- Consider after neck X-ray as well as CT with IV compare, when doubtful.

Therapy

- ABCs, of course!

- ICU entry

- Intravenous antibiotics (PCN or even cephalosporin additionally clindamycin)

- ENT consult: Cut and water flow of individuals using abscess along with imminent complications or failing to reply to antibiotics

Difficulties

- Respiratory tract obstruction

- Off shoot of contamination may take place, producing mediastinitis, intracranial disease, or IJ thrombophlebitis.
- Deep room guitar neck an infection involving the submandibular, submental, along with sublingual places.

- Usually odontogenic inside source (molars mostly) and immunocompromised (diabetics)

- Mixed aerobic along with anaerobic etiology

SYMPTOMS/EXAM

- Brawny induration of the flooring of the oral cavity (classic)

- Bilateral bloating

- Ache, edema, trismus, and also ogling

- Dysphonia and dysphagia

- Language displaces posteriorly along with superior, that might lead to throat give up.

- Nausea, dangerous appearance

Prognosis

- Specialized medical

- Consider after neck X-ray as well as CT with IV compare, when doubtful.

Therapy

- ABCs, of course!

- ICU entry

- Intravenous antibiotics (PCN or even cephalosporin additionally clindamycin)

- ENT consult: Cut and water flow of individuals using abscess along with imminent complications or failing to reply to antibiotics

Difficulties

- Respiratory tract obstruction

- Off shoot of contamination may take place, producing mediastinitis, intracranial disease, or IJ thrombophlebitis.

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