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Ludwig angina — ABEM Board MCQ

Instant feedback + full explanation. One question, done properly.

HardHead/Neck/ENT/Ophthalmology emergenciesLudwig anginaABEM Board

A 48-year-old man with poor dentition arrives with mouth floor swelling. Triage acuity is ESI 1; T 102.8 F, HR 126/min, SpO2 92%. He has muffled voice, drooling, tongue elevation, and indurated submandibular swelling. He is sitting upright and anxious. Which of the following is the most appropriate initial action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Prepare for awake airway management with ENT or anesthesia and give IV antibiotics

Ludwig angina threatens the airway; airway control planning with experienced help and IV antibiotics are priorities.

Reference: Emergency airway and deep neck infection guidance