oral diagnosis and medicine competency case
Download
Skip this Video
Download Presentation
Oral Diagnosis and Medicine Competency Case

Loading in 2 Seconds...

play fullscreen
1 / 10

Oral Diagnosis and Medicine Competency Case - PowerPoint PPT Presentation


  • 135 Views
  • Uploaded on

Oral Diagnosis and Medicine Competency Case. Seth Rush Team 2 UMKC SOD 2012 Chart #: 546-6-24. Patient History. 78 year old Caucasian female Pt. came if for routine dental care Pt. has a history of: broken jaw, broken ankle rectal abscess degenerative arthritis w/ pain back

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Oral Diagnosis and Medicine Competency Case' - chana


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.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
oral diagnosis and medicine competency case
Oral Diagnosis and Medicine Competency Case
  • Seth Rush
  • Team 2
  • UMKC SOD 2012
  • Chart #: 546-6-24
patient history
Patient History
  • 78 year old Caucasian female
  • Pt. came if for routine dental care
  • Pt. has a history of:
    • broken jaw, broken ankle
    • rectal abscess
    • degenerative arthritis w/ pain back
    • Heart valve problem (pt. does not recall exact details)
    • Hypothyroidsism
    • Frequent kidney stones
    • Urinary tract infection 1 year ago
medications
Medications
  • Crestor (for cholesterol)
  • Lexapro (for anxiety/depression)
  • Synthroid (for hypothyroidism)
lesion description
Lesion Description
  • Multiple bullae/vesicles on the on the right buccal mucosa
  • The lesions have well-defined borders and are asymmetric
  • The lesions involve the oral epithelium
  • The lesions have an erythmatous border
patient dialouge
Patient Dialouge
  • When did you first notice the lesions?
    • About 2 days prior to the appointment
  • Do the lesions cause any discomfort?
    • Yes, very severe pain
  • Have the lesions changed in size/location?
    • Not to the patient’s knowledge
  • Have you ever had any lesison like this before?
    • No, this is the first time
  • Do you have any other lesions anywhere else on your body?
    • No, only these lesions
  • Have you seen a doctor/dentist about these lesions?
    • Yes, my doctor said these were cold sores and gave me a topical steroid
differential diagnosis
Differential Diagnosis
  • Mucous Membrane Pemphigous
  • Erythema Multiforme
  • Pemphigus Vulgaris
  • Linear IgA diseases
  • Aplastic anemia
  • Uncontrolled Diabetes
treatment
Treatment
  • A biopsy was note performed, because the patient was referred to AEGD
  • The lesions should be biopsied to determine a definitive diagnosis
  • Topical corticosteroids
  • Systemic corticosteroids
  • Immunosuppresive drugs
ad