Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.TRAUMA CASE...

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1CASE PRESENTATIONTRAUMA

PRESENTED BYDr. RAHUL TIWARI

2ND YEAR MDS - PG StudentDEPT. OF ORAL & MAXILLOFACIAL SURGERY

SIBAR INSTITUTE OF DENTAL SCIENCES

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2PRELIMNARY DATA Patient name – T SUBBA RAO Date – 5/5/16 Age / sex – 48/M Occupation – ARMY RETIRED Religion – HINDU Marital status – MARRIED Blood group – O +ve Socioeconomic status – Middle Class Address – AMARATHALU, GUNTUR Contact no. –

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3PATIENT CHIEF COMPLAINT

C/O pain and swelling – lower jaw

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4HISTORY OF PRESENT ILLNESS RTA- BIKE on 28/4/16 HEAD INJURY LOC + ve Rt. Ear Bleed Went to Lalitha Hospitals Investigations- CT- Brain & Chest 3DCT- Facial Bones Hematological – CBP, Liver, Renal, RBS, Virals Conservative management Referred here

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5HISTORY

Past Medical History – NRH

Past Dental History – NRH

Family History –  NRH

Personal History – 6 Cigg./ day- 15 yrs. Occasionally Alcoholic

Drug History - NRH

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6GENERAL PHYSICAL EXAMINATION

Height – 5’9” Weight – 70 kgs

Gait – NAD Built – Average Nourishment – Moderate Signs of Clubbing – No Pulse – 88b/min. Resp. Rate

– 22c/min. Blood Pressure- 130/90 mm Hg Temperature –

Afebrile Body Mass Index – Normal P.I.C.K.L.E. - No

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7EXTRA ORAL EXAMINATION

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8PROFILE

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9INTRA ORAL EXAMINATION

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10OCCLUSION

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11INVESTIGATIONS- RADIOLOGICAL-OPG

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12INVESTIGATIONS- RADIOLOGICAL- 3DCT

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13INVESTIGATIONS- RADIOLOGICAL- CHEST & BRAIN

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14INVESTIGATIONS-HEAMATOLOGICAL

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15INVESTIGATIONS- ECG

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16REPORTS- BRAIN

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17REPORTS- CHEST

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18REPORTS- FACIAL BONES

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19DIAGNOSIS

BILATERAL PARASYMPHYSIS FRACTURE

SDH along Rt. Fronto-Parieto-Temporal Convexity

Calcified Granuloma in the Lt Temporal lobe.

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20TREATEMENT PLAN ORAL PROPHYLAXIS

ORIF

COSERVATIVE MANAGEMENT- SECEF EPTOIN LIBRIUM ULTRACET RANTAC ZINCOVIT

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