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Identity

NameThe patient's full legal name

Sex

The patient's sex, as assigned at birth

Date of Birth

History

The patient's medical history, as well as the history of the present infection.

Infection History

The history of the current infection

Medications

The medications the patient takes (comma-separated)

Comorbidities

Other conditions the patient is experiencing (comma-separated)

Triage Checklist

Answers to these questions can help determine the severity of this patient's case.

Inability to lay in supine positionObliteration of the inferior border of the mandibleFullness in floor of mouthTongue protrusionDroolingTrismusSigns of respiratory obstructionDysphoniaDysphagiaMuffled voice, or hoarseness of voiceNeck swellingDeviation in uvula

Infection Regions

Designate the affected regions of the face for the patient's odontogenic injury.

Mandibular Spaces

Vestibular AbscessSubmandibularSublingualSubmentalMedial MasticatorLateral MasticatorLateral PharyngealRetropharyngealCarotid SheathPretrachealVisceralThe Danger Space

Maxillary Spaces

VestibularCanineInfraorbitalPalatalOrbitalTemporalInfratemporal

Imaging and Attachments

Upload photos of CT scans or any other relevant imagery. Quality is not very important here: photos of your computer screen are okay.

Anything else?

Include any other relevant information about the patient here.

Other Notes

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