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:
- What testing should you do?
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ANSWERS:
- What testing should you do? Serum amylase, imaging is optional
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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.