History taking ulcer
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HISTORY TAKING (ULCER). C/o: painless non healing ulcer on lateral border of the tongue HPC: -Onset( eg:if >2weeks, suspect a neoplasm) -characteristics ( function,location,number,size,presence of pain,discharge,alteration of taste or sensation) -aggravating factor

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HISTORY TAKING (ULCER)

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History taking ulcer

HISTORY TAKING (ULCER)

  • C/o: painless non healing ulcer on lateral border of the tongue

  • HPC:

    -Onset(eg:if >2weeks, suspect a neoplasm)

    -characteristics (function,location,number,size,presence of pain,discharge,alterationof taste or sensation)

    -aggravating factor

    -alleviating factor(mouthwash)

    -predisposing factor(biting,prosthesis,drugs,dentaltreatment,infection-eg:viral, ortho appliance, fractured cusp)

    -fever

    -any other site which has the same symptom with the present complain site


History taking ulcer

  • PMH:

    -Systemic disease

    (eg: cyclic neutropenia,behcet’sdisease,tuberculosis,syphilis,EBV infection, seizure,chron’sdisease,coeliac disease)

    -Any history of cancer

    -drug history/medication

    (eg: NSAIDs-ibuprofen,aspirin,Nicorandil,Beta-blockers,steroid)

    -immunodeficiency( HIV,SLE)

    -infection(EBV,HSV)

    -pruritus on skin(suggesting lichen planus)


History taking ulcer

  • DH:

    • Treatment done to adjacent structure(restoration)

    • Other treatment(prosthesis, orthodontic appliance

    • Any treatment has been done on the complaint site previously? (eg:surgery)

  • FH:

    • Genetic factor

    • History of cancer in family

  • SH:

    • Occupation, workplace,lifestyle(depression,stress)

  • Habit:

    • Parafunctional habit, smoking, alcohol intake,betel nut chewing


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