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Differential Diagnosis for Right Side Face Swelling and Rash

Single Most Likely Diagnosis

  • Dental Abscess or Infection: The patient reports having a bad tooth on the right upper side, which is a common cause of facial swelling, especially if the infection has spread to the surrounding tissues.

Other Likely Diagnoses

  • Allergic Contact Dermatitis: The patient slept with a new blanket and woke up with a rash on the left side of her neck, suggesting an allergic reaction to the blanket material.
  • Peritonsillar Abscess: Although the patient mentions a bad tooth, a peritonsillar abscess is a possible cause of facial swelling, especially if the patient has a history of tonsillitis.
  • Cellulitis: Bacterial infection of the skin and subcutaneous tissues, which can cause facial swelling and can be related to a dental infection or other sources of bacteria.

Do Not Miss Diagnoses

  • Ludwig's Angina: A severe infection of the submandibular space that can cause facial swelling, difficulty swallowing, and shortness of breath. It is a medical emergency that requires prompt attention.
  • Cavernous Sinus Thrombosis: A rare but potentially life-threatening condition that can cause facial swelling, especially if the patient has a history of facial trauma, infection, or other conditions that increase the risk of thrombosis.
  • Parotid Gland Infection or Abscess: Infection of the parotid gland can cause facial swelling and can be related to a dental infection or other sources of bacteria.

Rare Diagnoses

  • Sarcoidosis: A systemic disease that can cause facial swelling, skin rashes, and other symptoms, although it is less likely in this case.
  • Angioedema: A rare condition that can cause facial swelling, especially if the patient has a history of allergies or other conditions that increase the risk of angioedema.
  • Erythema Multiforme: A skin condition that can cause a rash and facial swelling, although it is less likely in this case.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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