Differential Diagnosis for 41-year-old Male with Post-Extraction Bleeding
- Single most likely diagnosis:
- Post-operative bleeding or hemorrhage: This is the most likely diagnosis given the patient's recent history of wisdom teeth removal and the onset of bleeding after lifting a heavy object. The bleeding has stopped, but the patient still experiences discomfort and swelling at the extraction sites.
- Other Likely diagnoses:
- Dry socket (alveolar osteitis): Although the patient is still on amoxicillin, which reduces the risk of dry socket, the trauma from lifting a heavy object could have dislodged the blood clot, leading to this condition.
- Infection: Despite the patient being afebrile and having no difficulty swallowing, infection is still a possible complication, especially if the bleeding was significant or if the patient's wound is not healing properly.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.):
- Airway compromise: Although the patient is currently able to swallow without difficulty, any significant swelling or bleeding in the oral cavity could potentially compromise the airway, leading to a life-threatening situation.
- Bleeding disorder: The patient's bleeding could be a sign of an underlying bleeding disorder, such as hemophilia or a platelet disorder, which would require immediate attention and further evaluation.
- Rare diagnoses:
- Arteriovenous fistula: A rare complication of tooth extraction, where an abnormal connection between an artery and a vein forms, leading to uncontrolled bleeding.
- Osteonecrosis of the jaw: A rare but serious condition that could occur as a result of trauma, infection, or other factors, leading to necrosis of the jawbone.