Concluded Case

LEFT MASSETER MUSCLE PAIN

46 Y F H/O Hypothyroidism Htn Medication Thyronorm 100 od Lozar 25 bd From past 2-3days , She complains Pain In left masseter muscle region while eating and Body weekness . This Phenomenon happen in period of every month or 15 days. local bams doctor give her Amoxicillin 650mg after taking drug she get well . After palpation , it look like swelling. Neck usg done in past Small thyroid gland . What is possible Dx and Tx? Chief Complaints LEFT MASSETER MUSCLE PAIN ....!

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Concluded answer

Have you checked the parotid gland on the left side. Also the duct opening. If she gets well after amod it indicates infection, which has created a niche somewhere. So whenever there is swelling , aspirate it and send it for culture sensitivity so that you get to know if there is any antibiotic resistance as it is not going seat with amod completely.Also for fnac . Also check the condition of her teeth on the left side especially the molars as there root maybe draining to masseter muscle thus creating a sort of space infection confined to massetric space. Check tender on percussion and get a opg done or iopa. Ask for any preceding teeth complaint.

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Have you checked the parotid gland on the left side. Also the duct opening. If she gets well after amod it indicates infection, which has created a niche somewhere. So whenever there is swelling , aspirate it and send it for culture sensitivity so that you get to know if there is any antibiotic resistance as it is not going seat with amod completely.Also for fnac . Also check the condition of her teeth on the left side especially the molars as there root maybe draining to masseter muscle thus creating a sort of space infection confined to massetric space. Check tender on percussion and get a opg done or iopa. Ask for any preceding teeth complaint.

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