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wasf
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ENT
: LUDWIG’S ANGINA
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03.27.08 (5 months ago)
#1
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LUDWIG’S ANGINA is an:
a) Inflammatory condition
b) Malignant condition
c) due to coronary thrombosis
d) Traumatic condition
e) Deformity of mouth and tongue
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dr_tomchi
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03.27.08 (5 months ago)
#2
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| wasf wrote: |
LUDWIG’S ANGINA is an:
a) Inflammatory condition
b) Malignant condition
c) due to coronary thrombosis
d) Traumatic condition
e) Deformity of mouth and tongue |
A... True
B... False
C... False
D... True
E... True
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drsmita_s
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03.28.08 (5 months ago)
#3
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about option e) due to inflammation and swelling of the floor of the mouth, tongue is pushed upwards and backwards. doesn't exactly mean that there is deformity of mouth and tongue. this statement is false.
what is the answer given wasf?
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wasf
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03.28.08 (5 months ago)
#4
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Hello drsmita_s.i dont have answers for this mcq thatz why i posted here but what i read is that there is severe inflammation caused by infection on both sides of floor of mouth resulting in massive swelling of neck,so isnt it deformity?
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drsmita_s
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03.28.08 (5 months ago)
#5
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| wasf wrote: |
| Hello drsmita_s.i dont have answers for this mcq thatz why i posted here but what i read is that there is severe inflammation caused by infection on both sides of floor of mouth resulting in massive swelling of neck,so isnt it deformity? |
reasonable explaination.
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doctorofyear
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04.04.08 (5 months ago)
#6
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How it can be a traumatic condition?
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wasf
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04.06.08 (5 months ago)
#7
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less commonly reported causes of Ludwig’s angina include
sialadenitis, peritonsillar abscess, open mandibular
fracture, infected thyroglossal duct cyst, epiglottitis,
intravenous injections of drugs into the neck, traumat-
ic bronchoscopy, endotracheal intubation, oral lacera-
tions, tongue piercing, upper respiratory infections,
and trauma to the floor of the mouth
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Zeshan
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04.11.08 (5 months ago)
#8
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Nice answer By Dr. Wasf abt option d but I ve bit doubt about E . I think E is False because in quest it is asked that LUDWIG’S ANGINA is an:e) Deformity of mouth and tongue, so it shld b false bc it is not the Deformity of mouth and tongue, it is Inflammatory condition.
LUDWIG’S ANGINA is an:
a) Inflammatory condition
b) Malignant condition
c) due to coronary thrombosis
d) Traumatic condition
e) Deformity of mouth and tongue
Pls let me know am i right?
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wasf
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04.11.08 (5 months ago)
#9
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yes,nice and simple explanation,so i should change my mind again.
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Akil
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Re: <a href=
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05.24.08 (3 months ago)
#10
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| wasf wrote: |
LUDWIG’S ANGINA is an:
a) Inflammatory condition
b) Malignant condition
c) due to coronary thrombosis
d) Traumatic condition
e) Deformity of mouth and tongue |
a T
b F
c F
d F
e F
It is infectious origin and hence inflammatory
It is not malignant, not due to coronary thrombosis, not a traumatic (dramatic though...very very) condition ... it is mostly of 'odontogenic' origin in susceptible individuals. It is "not a deformity of mouth and tongue" but it results in 'deformity of mouth and tongue'.
A swelling could be "infectious/inflammatry", "traumatic", "malignant", "congenital".... I think it is this that they want to ask about this swelling too.
LUDWIG's ANGINA -> bilateral fascial space infection of the floor of the mouth. For diagnosis of ludwig's angina bilateral involvement is a must involving the submental, submandibular and sublingual fascial spaces of BOTH sides. All 3 spaces on BOTH sides. So bilateral submandibular and submental alone is NOT LUDWIG's Angina though soon it might proceed to involve the sublingual easily and then it becomes Ludwig's Angina.
It is more a cellulitis like infection in initial stages with little or no pus....though at advanced stages pus might be drained when incision and drainage is done.
Still INCISION and DRAINAGE could be lifesaving even though not for drainage of pus but for reducing the tissue tension...It could also facilitate, specimen for gram staining and antibiotic sensitivity tests.
The sublingual space involvement pushes the tongue up and behind resulting in asphyxiation if untreated. Hence the name "angina" - choking. Securing the airway and protecting the patient from dehydration is as important as treating the infection.
The infection could also spread to the parapharyngeal spaces and to other cervical and mediastinal fascial spaces...Prompt treatment is lifesaving. Microbiology
is as for most oral infections- Streptococcus.
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