MedBugs: SAQ #601

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Case: Intermittent Facial Swelling

A 47-year-old man presents with intermittent left-sided facial pain and cheek swelling, mainly when eating, which resolves spontaneously. He is otherwise well. Observations are normal and there are no abnormal findings on examination at the time of review.

1. State the most likely diagnosis and outline the discharge advice you would give this patient. 4 marks

Several weeks later he re-presents to the ED with severe persistent facial pain, neck swelling and fever. Vital signs: Temp 39.6 °C HR 120 bpm BP 90/60 mmHg RR 32/min SpO₂ 94% on room air He is moved to the resus bay. On examination you are concerned about impending airway compromise

2. List examination findings that would be concerning for airway obstruction. 4 marks

3. Outline your management priorities for this patient. 4 marks

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Case: Intermittent Facial Swelling

1. State the most likely diagnosis and outline the discharge advice you would give this patient. 4 marks

2. List examination findings that would be concerning for airway obstruction. 4 marks

3. Outline your management priorities for this patient. 4 marks

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