58 yo post laryngecromy , radiation, chemotherapy,with trac | Figure 1
jawdoc521
Dentist
58 yo post-laryngectomy, radiation, chemotherapy, with tracheostomy, feeding portal, now presents with 3 day acute swelling most likely from an abscessed lower molar. Without the preexisting trach, she would have obstructed. This is why I am very aggressive in removing any teeth anywhere near the radiation portals. These patients are going through hell.... taking care of their teeth is very low on their priority list.
More about this case
Resolved
Why you should join Figure 1
- Share your knowledge with our global community of healthcare professionals
- Get help from experts in your field
- Learn from our library of real-world cases and quizzes
Similar cases
16 year old female came to remove her mandibular second molar BDR. Her oral hygiene was very, very poor. I was having trouble extracting her teeth because of the bad smell continuously coming from her mouth. She already had previous extractions at such a young age. She comes from a poor background and doesn't have any dental awareness. Patient wanted prosthesis for the missing teeth without taking care of the already present teeth. Most probably a removable partial denture will be given to her as she can't afford bridge, implant etc.
Coronal and axial CT images show very large gastric (arrow) and splenic (arrowhead) varices. Gastric and splenic varices are complications of portal hypertension. Other complications of portal hypertension include splenomegaly, ascites, caput medusa, and hemorrhoids.
Severe periodontitis. Tooth was very loose. Extracted with little effort. Pt will eventually lose all teeth.
Very large spleen (29cm, 4.0kg) in a 23/F patient with cryptogenic portal hypertension. Underwent lap assisted Modified Sugiura Procedure.
Trending now
A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.
A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.
A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.
patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?