Case #48:

Case profile:

Patient: Adult male.

Case record:

Chief Complaint: The patient complains of progressive pain and swelling of three days duration. Reclining increases the pain and interferes with sleep. The patient has been taking tetracycline, 250 mg, QID for 24 hours with no effect. The patient suspects a fever is present. The patient denies sore throat, lymphadenopathy, skin lesions, gastrointestinal upset or diarrhea.   Medical History: The patient reports a heart murmur as a child, but it was not evident in recent physical exams. Periodic sinusitis is treated with over-the-counter medications.   Dental History: No abnormalities identified.   Clinical Findings: There is a diffuse, tender, compressible, hemorrhagic enlargement of the upper lip and mucolabial fold with distortion of the nasal philtrum and partial obliteration of the mucolabial fold. There is a palpable right nontender, anterior cervical node at the level of the carotid bifurcation. The maxillary left central incisor is mildly tender to percussion and does not respond to electrical or thermal stimulation. The oral temperature is 99.8 degrees F.

Images:

Nose and Mouth LG Lateral Anterior Face LG Upper Lip Everted LG Close-up of Upper Lip Everted LG Panoramic Radiograph LG Periapical Radiograph LG