Practicing Medical Skills in a Small Clinic-Chapter 244 - 148: Jaw Abscess, A Man’s Difficulties_2

Chapter 244: Chapter 148: Jaw Abscess, A Man’s Difficulties_2

This is to prevent the patient from getting anxious.

"So young and already infected with a minor ailment, sigh, such a pity. Many young girls don’t know how to protect themselves."

Tang Ping shook her head and sighed after hearing this.

"She probably doesn’t know at all, and when the CDC’s test results come out, she might collapse."

Li Jingsheng sighed as well.

The disease is always so cruel and merciless, never sparing because of the patient’s age or gender.

"Boss Li, the sign has been installed for you, please check it. If everything’s fine, I’ll come by to settle the payment this evening."

The advertising store owner walked in and said to him.

Many business people are rather superstitious, making only collections in the afternoon. The first deal of the morning, even if it doesn’t turn a profit, is worth closing if it breaks even.

The advertising store owner suggested settling the payment in the evening to avoid upsetting the customer by asking for payment in the morning.

Li Jingsheng went out to have a look and was quite satisfied.

"The craftsmanship is exquisite! I’ll pay the balance right now, so there’s no need to make you come again."

He settled the payment on the spot.

He didn’t believe in these things.

Just after sending off the advertising store owner, a patient arrived.

A woman in her late thirties came in clutching her right cheek. 𝒇𝒓𝒆𝒆𝙬𝒆𝒃𝓷𝒐𝓿𝙚𝙡.𝒄𝓸𝒎

"Doctor, my right face is incredibly painful, can it be treated?"

She showed a pained expression even while speaking.

"How did it happen? Did the pain start suddenly?"

Li Jingsheng noticed that the woman’s right cheek was severely swollen.

The first suspicion was naturally that she had been hit by her husband.

A woman fears marrying the wrong man.

Some women marry violent husbands who beat them at the slightest displeasure. Such occurrences are not uncommon.

"I don’t know what’s going on either. Four days ago, I felt some pain eating here. I thought it would get better in a couple of days, but it got worse and today I even feel a foul smell in my mouth. The last couple of days, I can’t even touch this area when brushing my teeth."

She pointed to the molar area on her right lower jaw.

Such a condition should ideally be treated by a dentist.

But for Li Jingsheng, every surgical patient is of utmost value.

Since she came to see him, he certainly didn’t hesitate to take the case.

"Let me examine you first."

He pressed lightly on her right cheek and jaw.

"Ouch... pain, it hurts a lot!"

The woman immediately cried out in pain.

"Feels like there’s a lump; let’s check inside! Open your mouth!"

Li Jingsheng took out a small flashlight.

The woman had a very pained expression when opening her mouth, and could only open to about two-thirds of the normal width.

The area between the cheek muscle and mucosa was noticeably swollen.

There was evidence of tooth decay in the first molar on the right lower jaw.

Oral inflammation with redness and swelling like this is often related to apical periodontitis.

Considering the swelling is quite large, there might be an abscess, and antibiotics alone might not work well.

Li Jingsheng, armed with minor achievements in pharmacology and pharmacokinetics, found these skills extremely helpful in formulating treatment plans for the patient.

He could estimate the general effectiveness of the treatment just by assessing the situation.

Master Level diagnostic skills in General Surgery also played a significant role at this moment.

The best way to confirm if there’s an abscess in the swollen area of the right lower jaw is to do a puncture.

The patient has been sensing a foul odor from the mouth these past few days, indicating a possible pus leak.

If an abscess is indeed present, surgery will be necessary.

"Surgical drainage combined with antibiotics should resolve this abscess. If extracting the molar is necessary, I can’t handle it."

He quickly formed this prognosis.

The cheek swelling may seem like a minor issue, but treating it requires a physician skilled in various fields.

Medication administration, general diagnosis, oral diagnosis, surgical incision, dissection, hemostasis, suturing, etc.

It’s not difficult for those who know.

For specialized doctors in large hospitals, dealing with this case is no big deal.

Li Jingsheng, however, needed to give it his all.

The first molar is damaged due to cavities.

Gum inflammation is apparent, indicating the molar is causing the cheek swelling.

After detailed examination, it doesn’t resemble apical periodontitis.

He discovered a wound near the root, as if pierced by something.

Due to the cheek swelling, the wound at the molar’s periphery was almost overlooked.

"Did something like a bone stab through your gum while eating a few days ago?"

"Yes, it was a chicken bone that pierced me, it hurt but I thought it wasn’t a big deal so I ignored it. Could it be related to my swollen face?"

The patient inquired.

"I can’t confirm definitively, but it seems related to the gum injury. Coupled with the tooth decay, the injury likely led to an infection, causing apical periodontitis."

Li Jingsheng could only make this rough deduction.

He didn’t dare to speak with absolute certainty.

"What should I do now? Can you treat it here?"

The patient got a little anxious hearing multiple medical terms.

Worst-case scenario, eating chicken led to such a big problem.

"I suspect there’s pus, so an ultrasound is needed to verify. The cost is 100 yuan, is that okay?"

"What choice do I have? Go ahead!"

The woman wasn’t stingy at all.

Necessary expenses must be made.

Illnesses definitely need to be treated!

After guiding her to make the payment, Li Jingsheng took her for an ultrasound to assess the situation.

He wasn’t proficient in oral diagnosis.

Suppurative parotitis was a possibility, too.

And the abscess was uncertain, which definitely needed clarification.

The face has a rich supply of nerves and blood vessels, leading to high surgical risks.

Fortunately, his suturing skills had improved.