1. What are the various ways to describe Oral and Soft Tissue Lesions?

Whats the difference between a history of presenting concern and a history of ulcerating lesion?

History of presenting concern is:

  • Onset
  • Anatomic Sites
  • Descrpition of symptoms
  • Precipitating factors
  • Aggravating/relieving factos
  • Secondary signs or symptoms
  • History of past investigations and treatments

History of ulcerating lesion:

  • When did it start?
  • How did it start?
  • Any history of trauma
  • Is this the first episode or is it recurrent
  • How many? Single or multiple?
  • Do the old ones heal before new ones come up?
  • Any pain , sensitivty to spicy foods, difficulty eating or swallowing
  • Any extraoral sites involved? Skin, genital, scalp, ocular
  • Did you start a new medication or oral hygiene product?
  • Any associated sytemic symptoms such as fever and malaise?
  • Does anyone in your family have similar problems ?
  • Do you have any gastrointestinal symptoms such as diarrhea and bleeding?
  • Any joint pain?