1 / 14

Oral Diagnosis and Oral Medicine Competency Case

Oral Diagnosis and Oral Medicine Competency Case . Jessica Rudd Team 3 Case #: 543-6-66 Photos taken-8/2/10. Patient History. 56 year old white female Smokes cigarettes (pack/day) Is not on any medications Has no known health complications Seeking regular dental care.

joie
Télécharger la présentation

Oral Diagnosis and Oral Medicine Competency Case

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Oral Diagnosis and Oral Medicine Competency Case Jessica Rudd Team 3 Case #: 543-6-66 Photos taken-8/2/10

  2. Patient History 56 year old white female Smokes cigarettes (pack/day) Is not on any medications Has no known health complications Seeking regular dental care

  3. Lesion Description Red single localized macula approximately 2 cm in an anterior/posterior direction and approx 1 cm laterally. The lesion is located in the posterior midline on the dorsum of the tongue anterior to the circumvallate papillae. The surface is devoid of filiform papilla but does have a nodular appearance. The borders are well-defined and the lesion is epithelium involved.

  4. Patient Dialogue Have you ever noticed this before? Have you ever been told about this lesion? Do you suck on cough drops, aspirin, etc? Do you recall any traumatic occurrence that may have caused this lesion?

  5. Differential Diagnosis Median rhomboid glossitis Geographic tongue Chemical burn Traumatic ulcer gumma of tertiary syphilis

  6. Provisional Diagnosis Treatment and Prognosis No treatment is recommended for median rhomboid glossitis. Although sometimes the nodular form, as opposed to the smooth flat type, is biopsied to confirm that the lesion is benign. If a biopsy is to be done the pt should first be put on an antifungal agent to reduce inflammation and erythema for a more accurate pathology assessment. Antifungal therapy is also sometimes utilized to treat any candida infection that may be present. Some common antifungals are nystatin, clotrimazole, fluconazole and ketoconazole. The long term prognosis of median rhomboid glossitis is good. Median Rhomboid Glossitis

  7. References • Moghadam, Behjat. Oral Diagnosis and Oral Medicine class lectures. 9-17-10 and 10-15-10. • http://www.maxillofacialcenter.com/BondBook/mucosa/medrhomboid.html#Clinical • http://www.dentistryiq.com/index/display/article-display/298177/articles/rdh/volume-27/issue-7/columns/oral-exams/median-rhomboid-glossitis.html

More Related