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GOOD MORNING!!!

GOOD MORNING!!!. AM Report July 7, 2011. CT Neck. 1.7x1.1x2.7 cm abscess within the left parapharyngeal space with mild impression on the airway; moderate LAD throughout the neck. Deep Neck Space Infections. Not common, but definitely worth knowing about!!. Submandibular Parapharyngeal *

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GOOD MORNING!!!

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  1. GOOD MORNING!!! AM Report July 7, 2011

  2. CT Neck 1.7x1.1x2.7 cm abscess within the left parapharyngeal space with mild impression on the airway; moderate LAD throughout the neck

  3. Deep Neck Space Infections Not common, but definitely worth knowing about!!

  4. Submandibular • Parapharyngeal* • Retropharyngeal* • “Danger” • Prevertebral • Peritonsillar* • Parotid • Masticator Facial Spaces

  5. Peritonsillar and Parapharyngreal Spaces

  6. Retropharyngeal Space

  7. CT;Clinda/Rocephin 4 yo M with h/o recent BOM presents with a 2d h/o fever, sore throat and decreased PO intake. On PE, he appears ill but non-toxic. His posterior pharynx appears clear, but it’s difficult to appreciate since he won’t open his mouth very wide. You notice he keeps his head turned to the right, and he doesn’t want you to palpate his neck. You get a lateral neck XR…

  8. Group A Strep, S.aureus, anaerobes 16 yo female presents with a several day h/o fever and sore throat now with significant pain with swallowing. She does note that it hurts less to swallow on her right side. She woke up this AM with significant left-sided ear pain. On PE…

  9. Parapharyngeal abscess 18 yo M with a 2 day h/o fever, and difficulty with swallowing. Symptom onset was after trip to the dentist early this week. Today, he presented secondary to some swelling on the L side of jaw. On PE…

  10. Have a great day! Noon Conference: Dr. Velez, Heme/Onc Emergencies

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