Answer: VizD Image Challenge Week of 7/9/2007

Despite many close entries, there was NO WINNER for this week's VizD.

Therefore, the pot doubles to $10


Recap:
A 62-year-old woman presents to your ED complaining of neck pain, difficulty swallowing, and drooling. She states that three days prior she underwent a dental procedure for an infected tooth.

(click on image to enlarge)
Questions:
1. What is the name of this condition?
2. What is the most dangerous complication of this condition?
3. What is the treatment for this condition?





Answers:
1. Ludwig's angina
2. Airway compromise
3. Antibiotics, Surgical drainage

More on Ludwig's Angina can be found at:
Journal of Emergency Medicine Vol 13 Issue 4; 1995. pgs 499-503

Abstract
Modern dental care and use of antibiotics for oral infections have made Ludwig's angina rare. To avoid acute airway obstruction, emergency physicians must be able to rapidly recognize and treat this condition. A typical case of Ludwig's angina is presented, followed by a review of clinical findings and therapeutic modalities. Emphasis is made on airway management, antibiotics, and surgical drainage.

The next VizD will be posted on Monday July 16

VizD is a weekly contest of an interesting or pathognomonic image from emergency medicine. Its goal is to integrate learning into a fun and relaxed environment. All images are original and are posted with the consent of the patient. For more information please refer to the following link.