Comments on: What’s the Diagnosis #2 http://www.epmonthly.com/whitecoat/2009/05/whats-the-diagnosis-2/ A blog from inside the emergency department Wed, 08 Feb 2012 14:07:09 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: hooman(medical student) http://www.epmonthly.com/whitecoat/2009/05/whats-the-diagnosis-2/#comment-14031 hooman(medical student) Sun, 11 Oct 2009 17:36:36 +0000 http://www.epmonthly.com/whitecoat/?p=2580#comment-14031 I have two questione.is it a typical case?I think one of the common symptoms of this patient is odinophagia,but in this case we dont see it. what is your opinione about examinatione the hypopharynx whit meirror in the first step before using x.ray? I have two questione.is it a typical case?I think one of the common symptoms of this patient is odinophagia,but in this case we dont see it.
what is your opinione about examinatione the hypopharynx whit meirror in the first step before using x.ray?

]]> By: paul http://www.epmonthly.com/whitecoat/2009/05/whats-the-diagnosis-2/#comment-8251 paul Sat, 09 May 2009 16:38:52 +0000 http://www.epmonthly.com/whitecoat/?p=2580#comment-8251 what space is that abscess in? parapharyngeal? what space is that abscess in? parapharyngeal?

]]> By: MBJ http://www.epmonthly.com/whitecoat/2009/05/whats-the-diagnosis-2/#comment-8250 MBJ Sat, 09 May 2009 15:29:58 +0000 http://www.epmonthly.com/whitecoat/?p=2580#comment-8250 I have over the years seen two patients requiring intubation for airway obstruction related to dental abscesses. I have over the years seen two patients requiring intubation for airway obstruction related to dental abscesses.

]]> By: Nurse K http://www.epmonthly.com/whitecoat/2009/05/whats-the-diagnosis-2/#comment-8244 Nurse K Sat, 09 May 2009 12:03:46 +0000 http://www.epmonthly.com/whitecoat/?p=2580#comment-8244 Hey, smart people can become nurses too ;-) I didn't even know that my son knew what wisdom teeth were or where they should be located. He creeps me out sometimes. Hey, smart people can become nurses too ;-)

I didn’t even know that my son knew what wisdom teeth were or where they should be located. He creeps me out sometimes.

]]> By: WhiteCoat http://www.epmonthly.com/whitecoat/2009/05/whats-the-diagnosis-2/#comment-8231 WhiteCoat Sat, 09 May 2009 01:42:19 +0000 http://www.epmonthly.com/whitecoat/?p=2580#comment-8231 Smart kid. I'm honored to know that my blog has appeal to the future doctors of America. Smart kid.
I’m honored to know that my blog has appeal to the future doctors of America.

]]> By: WhiteCoat http://www.epmonthly.com/whitecoat/2009/05/whats-the-diagnosis-2/#comment-8230 WhiteCoat Sat, 09 May 2009 01:41:42 +0000 http://www.epmonthly.com/whitecoat/?p=2580#comment-8230 I initially thought it was a spasm or pain in the sternocleidomastoid muscle - the muscle was quite tender when I palpated it. The big swollen tender glands made me think more of an infectious cause. I initially thought it was a spasm or pain in the sternocleidomastoid muscle – the muscle was quite tender when I palpated it. The big swollen tender glands made me think more of an infectious cause.

]]> By: WhiteCoat http://www.epmonthly.com/whitecoat/2009/05/whats-the-diagnosis-2/#comment-8229 WhiteCoat Sat, 09 May 2009 01:40:29 +0000 http://www.epmonthly.com/whitecoat/?p=2580#comment-8229 Somewhat more common in young children because there are lymph glands in this area. By late childhood and into adulthood, the lymph glands atrophy, so retropharyngeal abscesses in adults are much less common. Somewhat more common in young children because there are lymph glands in this area. By late childhood and into adulthood, the lymph glands atrophy, so retropharyngeal abscesses in adults are much less common.

]]> By: WhiteCoat http://www.epmonthly.com/whitecoat/2009/05/whats-the-diagnosis-2/#comment-8228 WhiteCoat Sat, 09 May 2009 01:39:01 +0000 http://www.epmonthly.com/whitecoat/?p=2580#comment-8228 One of the things I remembered from medical school was the saying that "bad things don't get better." Doesn't always apply, but that, plus the patient's apparent stoicism are what made me order the x-ray. One of the things I remembered from medical school was the saying that “bad things don’t get better.” Doesn’t always apply, but that, plus the patient’s apparent stoicism are what made me order the x-ray.

]]> By: Nurse K http://www.epmonthly.com/whitecoat/2009/05/whats-the-diagnosis-2/#comment-8227 Nurse K Sat, 09 May 2009 00:48:51 +0000 http://www.epmonthly.com/whitecoat/?p=2580#comment-8227 My 9-year-old looked at the xray and said that his wisdom teeth had been removed. My 9-year-old looked at the xray and said that his wisdom teeth had been removed.

]]> By: ERP http://www.epmonthly.com/whitecoat/2009/05/whats-the-diagnosis-2/#comment-8225 ERP Fri, 08 May 2009 16:29:54 +0000 http://www.epmonthly.com/whitecoat/?p=2580#comment-8225 The key is if he has severe pain with turning the neck - that is in my opionion the symptom that makes me suspect these things. The key is if he has severe pain with turning the neck – that is in my opionion the symptom that makes me suspect these things.

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