NEET MDS 2020 RECALL PART 1

happiness this is dr srikan from team mds conquer now i'm here to discuss few questions from mds conquer neet 2020 recall so going into the question a 50 year old patient few days after the extraction of mandible or third molar experience difficulty in breathing intraoral examination reveals restricted mouth opening and raise time what can be the diagnosis of this case options are here a submandibular cellulitis b ludwig's angina c tb lymphadenitis b lymphoma after so before going into the question you need to identify the key points the first key point is extraction of mandibular third molar the next one experience difficulty in breathing raised mouth opening and raised tongue and restricted mouth opening so if you go to the etiology the most common ethiology for ludwig's angina is the infection of the third molars the infection of the mandibular molars is the most common ethiology which is given in the question and of course the most common cause for the death of ludwig's angina case is obstruction of airway and the emergency thing or the emergency treatment what you have to do for ludwig's angina case is relieve the obstruction of airway which which can be seen as a difficulty in breathing you can see a mouth open appearance in the case of ludwig's angina case that is the restricted mouth opening and you can see a peculiar tongue that is raised so with this you can confirm or you can conclude the diagnosis as authentic angina if you go in detail into the few questions which were given in various examinations uh uh the questions which moves around ludwig's angina the tongue is called as udam so when when you have a description of woody tan you can blindly go for ludwig's engine as a primary option but this type of woody tank can also be seen in the case of actinomycosis of course we have to learn about woody lakes woody legs are seen in the case of vitamin c deficiency woody gums are seen in the case of so let's learn about woody tongue all goodies right woody tongue is ludwig sanchin and acrylomicrosis woody legs is vitamin c deficiency and woody gums are anak and three peculiar features that you can see in ludwig's angina are the first important thing it's an indurated swelling okay brownie injury rated spelling is again a most common key term that is used in describing the ludwig sanjina and which doesn't pits okay the swelling doesn't fit and mostly it's going to be a bilateral spelling it's always a bilateral spelling never and unilateral spelling so other important point that you can add is a bilateral a bilateral bony spelling is seen in the case of cherubism cherubism is again a bilateral one right and you can see one more bilateral swelling bilateral salary and swelling are seen in the case of mums okay so bilateral salivary gland spelling is seen in the case of mums bilateral your bony swelling is seen in the case of your cherubism right so again the third i mean the the one more like bilateral spelling which involves three types of lymph nodes that is the submandibular lymph nodes submental lymph nodes and sublingual lymphoids okay so all these lymph nodes on both the sides they cause the swelling and of course the most important thing is already discussed it is open mouth appearance you can see a clinical photograph of ludwig sanjin i guess you can easily identify a mouth open appearance the mouth cannot be closed okay and the next important aspect of the question which is given in various examinations long back is the standard airway for ludwig's angina is crico crico okay so the standard airway is trichothyrotectomy and the next important thing that you have to make a note about ludwig's antenna is the organisms which are responsible for the occurrence of fluidvig sanchez so this is again again a most commonly asked question that what are the organisms which are uh basically responsible for the occurrence of ludwig sanchina and these organisms according to the textbook is steptoc alki and various mixed anaerobes okay the streptococcus and various mixed anaerobes are the causative organisms so the answer for this question is the ludwig sanjin i feel this question is one of the easiest question in your neet 2020 recall done for now signing off dr srikanth and please do subscribe the channel for more questions which moves around neet 2020 and ames 2020.