An OSCE case featuring a 28-year-old man presenting with progressive submandibular swelling and difficulty swallowing after a recent dental extraction. Candidates must recognise Ludwig’s angina as the diagnosis, prioritise airway management and patient safety, initiate broad-spectrum antibiotics (benzylpenicillin + metronidazole or cefazolin if allergic), consider dexamethasone for tissue penetration, and arrange urgent ENT, ICU, and MaxFax involvement with imaging if stable.
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