Quartz 4

16. Allergies and Immune mediated disease

1 min read

Oral Burning Sensation Case Study1

DISCUSSION CASE

Case Description and Patient History

Patient Profile and Chief Complaint2

A 58-year-old female presents with a burning sensation in the oral cavity that has persisted for two months.

Medical and Social History

  • Medical History: Significant for hypertension and diabetes.
  • Medications: Currently managed with hydrochlorothiazide (for hypertension) and metformin (for diabetes).
  • Smoking History: Ex-smoker with a 30-year history (one pack per day); quit 10 years ago.
  • Alcohol Consumption: None.
  • Dental History: Last professional dental visit was 12 months ago.

Clinical Activity and Differential Diagnosis

Clinical Assessment Tasks

  1. Identify the pathosis and describe the clinical features.
  2. Determine the differential diagnosis.
  3. Identify the relevant clinical investigations required.
  4. Establish the definitive diagnosis.
  5. Outline the management plan for this patient.

1. Idnetify the pathosis and describe the clinical features

  • Has plaque like lesion on 46 could be leukoplakia ⇒ do blood tests
  • Reticular erythmatous lesions

3. Diagnostics

  • she has diabetes so do Hba1c
  • Biopsies
    • take multiple biopsies

Footnotes

  1. Original PDF page 1: 16. Allergies and Immune mediated disease case 2, p.1 ↩

  2. Original PDF page 2: 16. Allergies and Immune mediated disease case 2, p.2 ↩

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