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A 45-y male patient, a farmer by occupation came with c/o painless swelling on the right side of his face since 5 months.
The patient was apparently alright 18 months back, then he noticed a Swelling on the right side of his face, initially small in size later increased in size for which the patient had sought consultation and underwent superficial parotidectomy on 13/11/2022 and was diagnosed to be having Right Pleomorphic Adenoma, then pt c/o gradual increase in the size of the right parotid gland
And c/o painful oral ulcer at right retromolar trigone area since 4 months.
Not a known case of DM, HTN, BA, EPILEPSY, TB, CAD or CVA.
Personal history-
Appetite -normal
Diet-mixed
B&B -regular
Addictions- pan daily twice, since 7 years.
Image showing Right Parotid Swelling, at the time of presentation to our OP.
Oral hygiene and Ulcer at Right RMT.
ECG at the time of presentation:
Chest X-ray PA view:
Outside Investigations-
Plain + CE MRI OF NECK:
TRU-CUT Biopsy from Right Parotid Region
Incisional Biopsy from Right Parotid Gland
General examination -
Pt is conscious, coherent and cooperative
Bp-120/80mmhg
PR-78 bpm
RR-18 cpm
Grbs-148 mg/dl
No pallor, icterus, cyanosis, clubbing, lymphadenopathy
Systemic Examination-
CVS-S1, S2+, No murmurs
RS-BAE+, NVBS, No added sounds
P/A-soft, non-tender
CNS-
HMF+
GCS-15/15
POWER
RT LT
UL- 5/5 5/5
LL- 5/5 5/5
Reflexes-
Rt Lt
B ++ ++
T ++ ++
S ++ ++
K ++ ++
A ++ ++
P dorsiflexion
Diagnosis-RIGHT PLEOMORPHIC ADENOMA WITH RIGHT RMT ULCER
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