Puffy-faced Lineman

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Puffy-faced Lineman - Page #1

Author: James Daniels, II, MD,MPH Co Author #1: James M. Daniels, MD, MPH SIU Primary Care Sports Medicine Fellowship 612 North 11th Street Quincy, IL 62301 Co Author #2: Satyakant Chitturi, MD SIU Primary Care Sports Medicine Fellowship 612 North 11th Street Quincy, IL 62301 Co Author #3: Cesar Arguelles, MD SIU Primary Care Sports Medicine Fellowship 612 North 11th Street Quincy, IL 62301 Patient Presentation: 19 y/o offensive lineman presented with left cheek pain, swelling and fever of 101-degree F, started one day ago. Also had total body aches, fatigue, loss of appetite and left ear pain. Denied rash, sore throat, nasal congestion or vomiting. History: No relevant past medical or family history. Review of Systems was negative. Physical Exam: Vitals signs normal other than temp 101-degree F. Tender left cheek swelling with ill-defined margins extending behind the angle of the mandible. No erythema, good ROM of mandible. 2 swollen, tender left anterior cervical lymph nodes. Abdomen with mild tenderness in LUQ, no hepatosplenomegaly. EENT, Heart, Lungs, neuro exam normal. Hearing grossly normal. Dental exam negative. Parotid duct negative for drainage. No groin or joint pain Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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