Journal article
Toddler's unusual oral trauma is troubling
Contemporary pediatrics (Montvale, N.J.), Vol.37(4)
01 Apr 2020
Abstract
THE CASE A 17-month-old African American girl, with no significant past medical history, is brought to the Pediatric Emergency Department (PED) with acute onset of swelling in the floor of her mouth. Blood workup showed: white blood cell (WBC) count, 12.5; hemoglobin, 12.4 g; aspartate transaminase (AST)/alanine transaminase (ALT), 33/15; erythrocyte sedimentation rate (ESR), 19 mm/h; uric acid, 1.5 mg/dL; lactate dehydrogenase (LDH), 304 IU/L; C-reactive protein (CRP), 1.04 mg/dL; prothrombin time (PT), 12.8 sec; activated partial thromboplastin (aPTT), 34 sec; international normalized ratio (INR), 1; fibrinogen, 407 mg/dL. Most common injuries are tears of the lingual frenulum and open wounds of the floor of the mouth, gingiva, and palate.10 Metaphyseal bone fractures, rib fractures, various skin bruises, and retinal hemorrhages are other clinical findings of child abuse. Hospital course Based on the patient's clinical history, physical examination, and the acuity of presentation, the clinicians suspected traumatic swelling on the floor of the mouth, probably an acute swelling of sublingual/submandibular salivary glands, as the most common possible etiology.
Metrics
1 Record Views
Details
- Title
- Toddler's unusual oral trauma is troubling
- Creators
- Giridhar GuntreddiSwayam NirujogiLinda BloomChristopher Valente
- Publication Details
- Contemporary pediatrics (Montvale, N.J.), Vol.37(4)
- Publisher
- MultiMedia Healthcare Inc
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Identifiers
- 991021838690404721