I’d like to present Mr x who’s a 29 year old, baker who presented to the hospital with ambulance at

11 PM with epistaxis , scratch on the chin and abnormal mobility of the upper jaw, frontal reverse
occlusion and dysphagia, without personal physiological history .

To pathological history he states that two month ago he suffered a loss of consciousness followed by
his transport to the hospital and refused hospitalization.

On clinical examination he had anxiety syndrome, pale, aware, cooperative. He present