Concluded Case

history of swelling over right submandibular region, history of fever once,pain on deglutition,fnac shows few epithelial cells,wbc was 17000,spot ur dx

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Concluded answer
Sub mandibular lymphadenitis and this may be due to tonsillitis or any infective condition of pharynx , larynx or middle ear. As the WBC count is high suggestive of infection. FNAC may be conclusive of infection. H S gurgle twice a day Clavum 625 one tab twice daily for 7 days Anti inflammatory like Kinetozyme DP one tab bd after meals for 5days USG may be done to detect any cause After continuing for 3/4 days either the condition will have remission or and abscess formation incision and drainage may be done then.
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Submandibular swelling seen in picture looks to be lymphadenopathy and infective as there is leucocytosis 17000 Probably it is abscess extending laterally towards pharynx causing pain on deglutition Adv for xray and usg of neck After proper study excision or i&d is advisable
Thanx dr Seeni Vasagam
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Submandibular sialoadenitis. Requires conservative approach at present with, antibiotics like clarithromycin, mouth wash and analgesic. Go for ultrasound neck.
Looks like submandibular sialadenitis, treat conservatively
Sub mandibular lymphadenitis and this may be due to tonsillitis or any infective condition of pharynx , larynx or middle ear. As the WBC count is high suggestive of infection. FNAC may be conclusive of infection. H S gurgle twice a day Clavum 625 one tab twice daily for 7 days Anti inflammatory like Kinetozyme DP one tab bd after meals for 5days USG may be done to detect any cause After continuing for 3/4 days either the condition will have remission or and abscess formation incision and drainage may be done then.
Sub mandibular lymphadenitis . May be secondary to infection in the Tonsils, pharynx, larynx and middle ear . As F.N.AC is in conclusive and TLC is 17000 - antibiotics preferably Amoxyclav 1 GM B.D for 10 days along with chymoral forte is indicated. If patient is diabetic then parenteral antibiotics are preferred
Look inside the throat for acute tonsillitis, take throat swab for culture and sensitivity. Start on antibiotics and treat fever with paracetamol and cold pack .change antibiotics after culture report if necessary.. avoid high toxic antibiotics. Like amikacin.
Submandibular lymph adinitis , either inflammatory due to infection in larynx, or SECONDARY due malignancy in the oropharynx. Antibiotics, lymph nide biopsy, following ENT exam DD Submandibular sialadinitis
A case of submandibular lymphadenitis Enlargement level 1a group of node..in the neck region.. Antibiotics for 3 weeks..still inflammation persists go for FNAC
ACUTE ON CHRONIC TONSILITIS, SUB MANDIBULAR ENLARGED LYPHANGIOMA,SUBMANDIBULAR ENLARGED LYMPHNODES
Submandibular Lymph nodes ? Salivary duct calculi
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