Clinical Competency Case #542-4-79 10/13/10. Steven White. Patient History. 55 year old male Smoker Hypertensive Presented in general clinic seeking regular care. Patient unaware of lesion. Pt currently taking Simvastatin 40mg qd and Lisinopril 20mg qd. Dialogue.
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Clinical CompetencyCase #542-4-7910/13/10
55 year old male
Presented in general clinic seeking regular care. Patient unaware of lesion.
Pt currently taking Simvastatin 40mg qd and Lisinopril 20mg qd
Have you noticed any foul odor or bad taste coming from your mouth? (yes)
Does the tooth that is broken down cause you any discomfort? Constant, Sporadic? ( The tooth was painful at one point, but no longer is causing any discomfort.)
Do you notice any drainage from this area? (no)
Do you have pain associated with this lesion? (no)
Patient presents with a small, single, red lesion with a well-defined border on the attached facial gingiva of the left maxilla. The area appears to be a hole in the epithelium; secretes a white pus upon applying slight pressure.