Middle-aged Man with Acute Swelling Under Jaw

Poll

Patient describes extreme pain and submandibular progressive swelling after molar extraction several days earlier. Watch video exam.


A 53-year-old man presents to ED with progressive painful swelling of left submandibular area and throat. S/P molar extraction after toothache. PMH, none; smokes cigarettes, occasional ETOH; meds, clindamycin after extraction. Vital signs, WNL. More details in video from ED, above.

What’s your diagnosis?

A. Ludwig's angina
B. Submandibular abscess
C. Lymphadenitis

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