Subjective:
The patient is a 25 y.o. male admitted to the emergency room of Owensboro Mercy Health System complaining of pain and facial swelling.
Objective:
The patient had no known drug allergies, history of hospitalizations or operations. Oral examination revealed limited mandibular opening (trismus) with an interincisial opening of 15 mm. Radiographic examination indicated severe dental caries of tooth # 17 with radiolucent defects at the apex of tooth # 17. Facial examination was consistent with left paramandibular edema and erythema. Oral temperature was 101 degrees. White Blood Cell Count was 20,700.
Assessment:
- Left Facial Abscess secondary to Odontogenic Infection, Tooth # 17
Plan / Treatment:
- Admission for IV Antibiotics
- General Anesthesia
- Extraoral I and D (Incision and Drainage) of Facial Abscess with Insertion of Pen Rose Drain
- Aerobic and Anaerobic C/S (Culture and Sensitivity) Bacteroides and Peptostreptococcus
- Extraction Tooth # 17
Patient treated by:
- Dr. Steven R. Tucker Oral and Maxillofacial Surgery
Steven R. Tucker DMD, PSC
Oral and Maxillofacial Surgery
909 Scherm Road
Owensboro, KY 42301
phone: 1-270-926-4107
fax: 1-270-926-4166
url: www.srt-psc.com
Last Modified: July 31, 2000
