Medical Emergencies · single question
An amphetamine-addicted patient has left mandibular swelling, pain, fever 101°F, and BP 138/90. What is the most appropriate immediate action?
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Correct answer: C. Refer to a physician
- A. ❌ Proceeding with a dental procedure on a febrile, hypertensive stimulant-using patient is contraindicated.
- B. ❌ Rescheduling without addressing acute infection/systemic instability is inadequate.
- C. ✅ Correct. Stimulant use (amphetamines), elevated BP (138/90), fever (101°F), and active infection in combination require PHYSICIAN REFERRAL for medical management and clearance before dental intervention.
- D. ❌ I&D may be indicated eventually, but performing it on an amphetamine-using patient with fever and elevated BP without medical clearance is potentially dangerous.
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