Oral Diagnosis & Oral Medicine Competency Case Megan Lieberenz 11/8/10
The Patient 68year old African American female patient. Patient presents with controlled high blood pressure, asthma, and rheumatoid arthritis. Patient chart number #471-8-97
The lesion • There are multiple lesions present on the tongue that involve the epithelium . The lesion is well defined, wide-spread and flat. The lesion is pink and the filliform papillae are missing.
Patient Dialogue • How long have you been aware of this lesion? The patient was unaware of the lesions. • Do you have any burning or tingling on your tongue? No. • Do you have any similar lesions anywhere else on your body? No. • When was your last visit to your primary care physician? Three months ago.
Provisional Diagnosis / Treatment • Geographic Tongue • Aphthous Stomatitis • Traumatic lesion • No treatment is recommended unless it is symptomatic. If it is symptomatic then topical anesthetic, crushed ice and topical antihistamine is recommended.