Oral Ulcer
History of Present Illness:
A 52-year-old female presents to the ED for 4 days of severe oral pain. She denies history of same. She has been using gentian violet for possible thrush but it has not helped. She denies any fever or other complaints.
Vital Signs & Physical Exam:
Vital signs are normal except for Physical exam is otherwise except for multiple oral ulcer on the buccal mucosa and under the tongue (largest shown below).
Initial Differential Diagnosis:
- Syphilis, the great imitator
- Aphthous ulcer
Initial Diagnostic Testing:
- Labs: none ordered
QUESTIONS:
- What does the case image show?
- What should you do next?
- Want a 1-minute consult/tutorial on this case?
- Want to know what happened with this patient?
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ANSWERS:
- What does the case image show? The image shows a large sublingual ulcer .
- What should you do next? Treat with ABX, steroids and magic mouthwash. Consult ENT.
- Want a 1-minute consult/tutorial on this case? See yellow area from sample page below.
- Want to know what happened with this patient? See case conclusion below tutorial page.
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CASE CONCLUSION: We’ll just have to see
CASE LESSONS: