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

1. CASE PRESENTATION
TRAUMA
PRESENTED BY
Dr. RAHUL TIWARI
2ND YEAR MDS - PG Student
DEPT. OF ORAL & MAXILLOFACIAL SURGERY
SIBAR INSTITUTE OF DENTAL SCIENCES
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2. PRELIMNARY 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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3. PATIENT CHIEF COMPLAINT
 C/O pain and swelling – lower jaw
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4. HISTORY 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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5. HISTORY
 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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6. GENERAL 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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7. EXTRA ORAL EXAMINATION 7

8. PROFILE 8

9. INTRA ORAL EXAMINATION 9

10. OCCLUSION 10

11. INVESTIGATIONS- RADIOLOGICAL-OPG 11

12. INVESTIGATIONS- RADIOLOGICAL- 3DCT 12

13. INVESTIGATIONS- RADIOLOGICAL- CHEST & BRAIN 13

14. INVESTIGATIONS-HEAMATOLOGICAL 14

15. INVESTIGATIONS- ECG 15

16. REPORTS- BRAIN 16

17. REPORTS- CHEST 17

18. REPORTS- FACIAL BONES 18

19. DIAGNOSIS
 BILATERAL PARASYMPHYSIS FRACTURE
 SDH along Rt. Fronto-Parieto-Temporal Convexity
 Calcified Granuloma in the Lt Temporal lobe.
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20. TREATEMENT PLAN
 ORAL PROPHYLAXIS
 ORIF
 COSERVATIVE MANAGEMENT-
 SECEF
 EPTOIN
 LIBRIUM
 ULTRACET
 RANTAC
 ZINCOVIT
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21. THANK YOU
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