Help with Clinical question

[c8758]

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a 28 year old male presents with a toothache fever and diffuse firm facial swelling. He has a neutrophilic leukocytosis. The facial swelling MOST likely represents which of the following?
A. Cellulitis
B. Granulation tissue
C. Eosinophilic infiltration
D. Granulomatous inflammation
E. Proliferation of neutrophils

 

[Thermoseal]

a 28 year old male presents with a toothache fever and diffuse firm facial swelling. He has a neutrophilic leukocytosis. The facial swelling MOST likely represents which of the following?
A. Cellulitis
B. Granulation tissue
C. Eosinophilic infiltration
D. Granulomatous inflammation
E. Proliferation of neutrophils

Well i think it should be cellulitis basd on the description as firm and diffuse.even the toothache may be a form of acute abscess which has gradually involved other spaces.Eosinophilic infiltration may not hold true coz it is usually associated with either allergy or parasitic infection.granulation tissue would be a more chronic one.Correct me if i am wrong!

 

[firasoblast]

Well i think it should be cellulitis basd on the description as firm and diffuse.even the toothache may be a form of acute abscess which has gradually involved other spaces.Eosinophilic infiltration may not hold true coz it is usually associated with either allergy or parasitic infection.granulation tissue would be a more chronic one.Correct me if i am wrong!

Agree 👍

 

[aphistis]

a 28 year old male presents with a toothache fever and diffuse firm facial swelling. He has a neutrophilic leukocytosis. The facial swelling MOST likely represents which of the following?
A. Cellulitis
B. Granulation tissue
C. Eosinophilic infiltration
D. Granulomatous inflammation
E. Proliferation of neutrophils

This is one of the most frequent acute care scenarios in dentistry. Extensive decay + pain + diffuse soft tissue swelling/inflammation + fever = cellulitis secondary to ondontogenic infection.

Most of these patients do probably have neutrophilic leukocytoses, but in reality you'll never ever ever send blood labs for a textbook clinical presentation like this. Extract/pulpectomy as indicated, I&D/place drain as necessary, PO abx (amoxicillin 500mg q8h x7d is an unsexy but effective antibiotic regimen for oral infections), re-eval q2-3d until resolved.

 

[gudluk]

a 28 year old male presents with a toothache fever and diffuse firm facial swelling. He has a neutrophilic leukocytosis. The facial swelling MOST likely represents which of the following?
A. Cellulitis(ans0
B. Granulation tissue
C. Eosinophilic infiltration
D. Granulomatous inflammation
E. Proliferation of neutrophils

i think according to the description given this shud be tha answer