علم أدوية وطواريء طب الأسنان

علم أدوية وطواريء طب الأسنان الصفحة الأولى التي تساهم في نشر الوعي بين أطباء الوطن العربي بخصوص علم أدوية وطواريء طب الأسنان

Middle-aged patient presents withpersistent fever, chills, malaise, weight loss, and progressive exertional dyspnea foll...
02/09/2026

Middle-aged patient presents with

persistent fever, chills, malaise, weight loss, and progressive exertional dyspnea following recent dental manipulation or underlying valvular disease. Examination identifies a new or changing regurgitant cardiac murmur, linear splinter hemorrhages beneath fingernails, painless erythematous macules on palms and soles, tender violaceous digital nodules, conjunctival petechiae, and retinal hemorrhages with pale centers. Blood cultures obtained before antimicrobial therapy repeatedly isolate a typical causative organism, while transesophageal echocardiography demonstrates mobile valvular vegetations fulfilling major diagnostic criteria. Persistent bacteremia with echocardiographically proven vegetations accompanied by characteristic peripheral stigmata constitutes the classic diagnostic clue.
Diagnosis: Infective endocarditis

Patient 28-year-old with recurrent painful oral aphthous ulcers and episodic inflammatory skin lesions over the lower le...
02/09/2026

Patient 28-year-old with recurrent painful oral aphthous ulcers and episodic inflammatory skin lesions over the lower legs. Examination demonstrates multiple well-demarcated oral ulcers with erythematous bases, tender erythematous papulonodular lesions on the shins, and a markedly injected eye with anterior segment inflammation. Recurrent episodes involving oral, cutaneous, and ocular sites strongly support a systemic inflammatory vasculitic process. The classic diagnostic clue is recurrent oral ulceration accompanied by uveitis and erythema-nodosum-like lesions.
Diagnosis: Behçet disease

Hydrogen peroxide H2O2Oxidizing agentantiseptic & bleaching agent through release of nascent O2detach pus & debris (not ...
14/03/2026

Hydrogen peroxide H2O2
Oxidizing agent
antiseptic & bleaching agent through release of nascent O2
detach pus & debris (not used in fracture jaw )➡️ dissemination of infection)

When Pain Relief Causes Swelling (NSAID-Induced Angioedema)​Ever had a patient take an Aspirin or Ibuprofen and show up ...
02/02/2026

When Pain Relief Causes Swelling (NSAID-Induced Angioedema)
​Ever had a patient take an Aspirin or Ibuprofen and show up with a "puffy" face or swollen lips? It might not just be a typical allergy—it could be NSAID-induced angioedema.
​What’s happening?
​Unlike a standard Type I allergy, this is often a pharmacological reaction. When NSAIDs block the COX-1 enzyme, the body shunts arachidonic acid toward the lipoxygenase pathway.
​The result? An overproduction of leukotrienes, leading to increased vascular permeability and sudden swelling of the skin or mucous membranes.
​Quick Facts for Patients:
​The Culprits: Aspirin, Ibuprofen Naproxen (no pain) and Diclofenac (Voltaren).
​The Signs: Swelling of the lips, eyelids, or tongue. If there is difficulty breathing, it is a medical emergency.
​The Alternative: Generally, Acetaminophen (Paracetamol) is a safer bet for those prone to this reaction, though always consult your doctor or pharmacist first!
​A Note for My Dental & Medical Colleagues:
​Always screen for "Aspirin sensitivity" before prescribing post-op analgesics. If a patient has a history of asthma or nasal polyps (the Samter’s Triad), their risk of angioedema is significantly higher.
​Stay safe and keep those smiles healthy! 🦷✨
​

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