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Mandible Fractures

Matthieu DeClerck, MD and Mizuho Morrison, DO
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No me gusta!

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A mandible fracture often occurs from a blunt force injury. Adult fractures may result in significant displacement. It is important to palpate the entire mandible in a systematic fashion as well as to evaluate the mouth and to explore the wound looking for foreign bodies

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Mike W., MD -

From MW, this is a listener comment:
Please consider a UC rap segment on facial trauma. The recent jaw trauma segment was great, but I'd like more.

I work in a UC with a CT scanner, X-ray and US and it would be great to get some expert advise on exam, appropriate imaging and complications of facial trauma.

Recently, I was precepting a student who asked why a coleague had ordered a CT for a pateint with a chief complaint of "follow up eye pain." Seemed odd to me, so we asked.

Six days before presentation, this young man had hit his face on a pole while skiing. He went to a local ED who advised PCP follow up in the next few days. He chose to see us as he couldn't get a timely PCP appt. He pesented with occasional dizziness and had bradycardicia in the 40s. The periorbital area was swollen and ecchymotic. The eye was unremarkable other than he could look upwards and became very dizzy when he attempted this. My colleague taught us about the oculocardiac reflex and showed us the inferior orbital blowout fracture seen on CT.

This interesting case showed my lack of knowledge of facial trauma. Please educate me!

Thanks
Tim

Mike W., MD -

Thx Tim, I will let Mi and Matt know about this!
M

Mizuho M., DO -

Already on it Tim...thanks for your comments. Standby for the segment. ~Miz

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Breaking Bad - Insulin Pumps and Mandibles Full episode audio for MD edition 199:17 min - 93 MB - M4AUrgent Care RAP - November 2018 Written Summary 671 KB - PDF

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