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Monday, 11 May 2015

CASE 311 : ACUTE HEMIFACIAL PAIN, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC.

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Boy 14 yo, 7 days ago, pain at left  hemifacial and  fever.



ENT doctor  after  rhinoendoscopy said, but  one week with treatment  no response.

Emergency consultation  with  ultrasound  paranasal sinus ( us 1 imge= transversection scan  with 3.5 MHz laydown position at left  maxillary, showing  the sinus filling  with fluid /  us 2 imge=  at  right  sinus no fluid  only intrasinus air/  us 3 image=   in  comparison to  image  of sinus  scan ultrasound of R and L  maxillary / us 4 image = scanning in  sitting position ).





Ultrasonologist  suggested  acute  sinusitis of  maxillary.

MSCT  confirmed  this US diagnosis.


Blood tests  also  make  sure an acute infection.



Summary of case 311: quickly  scaningn ultrasound  at  paranasal sinus  make  exactly diagnosis  acute  sinusitis  in  emergency room.

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