Treatment

Question 1

What info is needed to initiate tx?

Answer 1

Medhx
Meds
Vitals
Clinical exam /Extraoral exam
Testing
Temperature if swollen
allergies

Question 2

How to identify Ludwigs Angina

Answer 2

Difficulty swallowing/breathing
Trismus

Question 3

Infections of periorbital space can lead to…

Answer 3

Valveless facial veins with resultant cavernous sinus thrombosis characterized by lateral gaze palsy

Question 4

Local anesthetic

Answer 4

Malamed, OSU

Question 5

Max dose of epi in cardiac patient

Answer 5

0.04mg (Haas et al)

Question 6

Epi drug-drug interations

Answer 6

Tricyclic antibiotics (amitriptyline, doxepin)
Non-selective B-blockers (propranolol, nadolol)
cocaine
General anesthetics
Digitalis

Question 7

AAE Colleagues of excellence (Johnson 2019): When to prescribe antibiotics

Answer 7

Cases with fever greater than 100 degrees F, lymphadenopathy, osteomyelitis, trismus, and persistent infections
NOT
Pain without signs or symptoms of infection
Asymptomatic radiolucency
Drainage through sinus tract
Fluctuant swelling
Irreversible pulpitis

Question 8

Antibiotics and Flare Ups

Answer 8

Torebinejad: recommends antibiotics to prevent flare up
Pickenpaugh et al: advised against the use of antibiotics as preventative agents