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Neck Swelling

UnFiNiShEd CaSe CoMe BaCk LaTeR

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History of Present Illness:

A 32-year-old male who had a recent upper respiratory infection presents with approximately 12 hours of right neck swelling associated with mild pain. Symptoms are worse when he moves his tongue. He denies any fever, cough or other swollen areas.

Vital Signs & Physical Exam:

Vital signs are normal.   Physical exam is otherwise normal except for isolated right-sided anterior cervical/submandibular swelling

QUESTIONS:

  1. What testing should you do?  
  2. Want a 1-minute consult/tutorial on this case? 
  3. Want to know what happened with this patient?

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ANSWERS:

  1. What testing should you do?  Serum amylase, imaging is optional
  2. Want a 1-minute consult/tutorial on this case? See below
  3. Want to know what happened with this patient? See below

1-Minute EM Consult on the topic for this case from the Emergency Medicine 1-minute Consult Pocketbook

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CASE CONCLUSION: Amylase was mildly elevated at 150.  CBC and BMP were normal.  The patient was treated for a salivary stone and symptoms resolved after 3 days.

 

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