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05/03/2023 12:06:12 PM
CASE PRESENTATION/RT
1CASE PRESENTATIONTRAUMA
PRESENTED BYDr. RAHUL TIWARI
2ND YEAR MDS - PG StudentDEPT. OF ORAL & MAXILLOFACIAL SURGERY
SIBAR INSTITUTE OF DENTAL SCIENCES
05/03/2023 12:06:13 PM
CASE PRESENTATION/RT
2PRELIMNARY DATA
Patient name – Y VENUGOPAL RAO Date – 08/10/2015
Age / sex – 20/MO.P.No. – 748701
Occupation – ITI PROFFESIONAL Religion – HINDU
Marital status – UNMARRIED Blood group –B+VE
Date of birth –Socioeconomic status –
Address – SILAPADU, CHEBORULU MANDALGUNTUR- 522213
Contact no. –07799482662
05/03/2023 12:06:13 PM
CASE PRESENTATION/RT
3PATIENT CHIEF COMPLAINT
Patient complains of trauma to lower jaw on right side before 4 years, pain and unability to open the mouth since 1 week.
05/03/2023 12:06:13 PM
CASE PRESENTATION/RT
4HISTORY OF PRESENT ILLNESS
Patient had an trauma 1 day back Swelling nad bleeding in lower cheek area No h/o unconsciousness, epistaxis or ototaxis
05/03/2023 12:06:14 PM
CASE PRESENTATION/RT
5HISTORY
Past Medical History – no relevant history Past Dental History – no relevant history Family History – no relevant history Personal History – no relevant history Drug History - no relevant history Pre-natal History Birth History – no relevant history Post Natal History – no relevant history
05/03/2023 12:06:14 PM
CASE PRESENTATION/RT
6GENERAL PHYSICAL EXAMINATION
Height – 5’9”Weight – 57 kg
Gait – NAD Built – average
Nourishment – fair Signs of Clubbing – no
Pulse – 82b/minResp. Rate – 19c/min
Blood Pressure- 124/82 mm of hg Temperature – afebrile
Body Mass Index –P.I.C.K.L.E. - absent
05/03/2023 12:06:19 PM
CASE PRESENTATION/RT
8EXTRA ORAL EXAMINATION
Swelling on right cheek of oval shape 3x5 cm extending from angle of mandible to the ear anteroinferiorly.
05/03/2023 12:06:19 PM
CASE PRESENTATION/RT
9INTRA ORAL EXAMINATION
Mouth opening – 22mm Tender on percussion with 31
05/03/2023 12:06:19 PM
CASE PRESENTATION/RT
11DIAGNOSIS
Fracture involving the angle of mandible on right side and parasymphysis on left side.