POCUS IOTW: Mandibular Swelling

Posted on: March 14, 2018, by :

6 year old boy with right lower mandibular swelling s/p trauma after family member hit him in the face with a blunt object.

Initially thought to be a hematoma but on ultrasound as seen below there was a string of enlarged lymph nodes.  To differentiate a lymph node from an abscess or a hematoma, look for the stalk within the lymph node that usually lights up with color.  The other side of the face was also imaged and no lymph nodes were noted.

Upon further history and physical, the patient was found to have a tooth abscess and will follow up with dental as an outpatient.

The information in these cases has been changed to protect patient identity and confidentiality. The images are only provided for educational purposes and members agree not to download them, share them, or otherwise use them for any other purpose.
To access this in the future, please go to http://www.pemacademy.com/ultrasound

Haroon Shaukat MD

Pediatric Emergency Medicine Attending at Children's National Health System
I was born and raised in Silver Spring, Maryland, but with very little knowledge of all things DC. “Crabs and football, that’s what Maryland does”, unfortunately I could only partake in one of those. I grew up with a crab allergy so blue crabs are a make believe creature to me, much like the lochness monster. I decided to take the leap of faith and attend medical school abroad but family and home could not keep me away for too long. Residency took me to New Jersey where I began to cultivate my love for medical education and low tolerance for poor pain control. Did I mention I also learned that I outgrew my crab allergy in NJ! Alas, to the DMV I return! Hopefully to contribute to medical education and quality improvement while feasting on a Maryland blue crab or two.
Haroon Shaukat MD

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