Painful swollen cheek after surgery

Instructions

You are an intern on the surgical ward. It is 9 am, and the nurse has asked you to see Ayen Akol, 81, on day 5 after a right hemicolectomy, because the left side of her face has become painful and swollen since last night.

1. 1

   Take a focused history

2. 2

   Examine the patient

3. 3

   Outline to the examiner:

   • Your most likely diagnosis and differentials
   • Next steps in management, including relevant investigations

• Please verbalise your examination; findings will be provided on request
• You do not need to summarise your findings