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Medical Emergencies · single question

Same amphetamine-using patient presents with swelling in lower left region, pain, BP 138/90, fever 101°F, and dry mouth. What do you do?

  1. Do the dental procedure
  2. Finalize a treatment plan and reschedule
  3. Refer to physician
  4. Incision and drainage immediately
Show answer and explanation

Correct answer: D. Incision and drainage immediately

  • A. Incorrect. While I&D is used for abscesses, this patient has systemic signs (fever 101°F, elevated BP) suggesting systemic spread. Active drug use also complicates anesthesia.
  • B. Incorrect. Performing a procedure with active fever and systemic infection signs in an active drug user is contraindicated.
  • C. Incorrect. Finalizing a treatment plan without addressing the active fever is insufficient.
  • D. Correct. Fever (101°F), elevated BP, active drug use, and swelling all indicate systemic involvement requiring medical evaluation before any dental treatment.

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