Dental Abscess

HISTORY:

‍ToothacheSwellingJaw pain for ‍ ‍hoursdays

Location: in the ‍upperlower ‍rightleft jaw

‍toothache

‍swelling of the gums

‍swelling of the face

‍fever, up to ‍°, over ‍ ‍hoursdays

‍chills

‍difficulty opening the mouth

Worsening factors: ‍noneeatingdrinkingchewing

Treatments tried: ‍none, ‍effectiveineffective



EXAM:

General appearance: ‍well-appearing

Vital signs: ‍normal, BP ‍, HR ‍, RR ‍, SpO2 ‍ %, Temp ‍°

Mouth: ‍normal

Throat: ‍normalrednessexudate

Neck: ‍normallymphadenopathy



ASSESSMENT:

‍Dental infection ‍likelysuspectedpossible

DDx: ‍



PLAN:

- Blood work: ‍CBC, ‍CRP

- Pus culture

- ‍Antibiotics

- ‍Analgesics

- Incision and drainage

- Warm salt water rinses

- Avoid hot or cold foods

- Referral to dentist

- Referral to maxillo-facial surgeon

- Follow-up in ‍ ‍daysweeks

- Go to ER if severe pain, difficulty breathing, or high fever occurs