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المشتركون
لا توجد بيانات24 ساعات
لا توجد بيانات7 أيام
لا توجد بيانات30 أيام
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Rodger, aged 53 years, presents with fever and lethargy. He says that the left side of his face is swollen and painful. He feels like the area near his ear has become rapidly swollen. Rodger mentions that when he eats, he experiences an unusual taste and worsening of his pain. His medical history is unremarkable. 1. What do you think is the nature of Rodger’s swelling? 2. What is the most likely diagnosis for Rodger’s presentation? 3. What are some other causes of salivary gland swelling? 4. How would you manage Rodger’s presentation? 5. Does this new presentation change your management? 6. Is this information relevant to Rodger’s infection? 7. How would you assess this presentation? 8. What would you tell Rodger? 9. How would you answer Rodger? 10. How would you counsel Rodger? #Week27_Case4
Ingrid, aged 66 years, presents with a five-year history of periodic mouth soreness and ulcers, which stop her from eating comfortably. She has noted an increase in the frequency of her mouth ulcers, with episodes occurring monthly and lasting 2–3 weeks. She finds eating spicy foods very uncomfortable and notes that her gums are sensitive when she brushes her teeth.
Her medical history is otherwise significant for osteoporosis, which is managed with 35 mg risedronic acid, weekly. She is an ex-smoker with a 30 pack-year history and consumes three standard drinks of alcohol per day. You conduct a comprehensive head and neck examination, followed by an oral examination under white light. You note the lesions as shown in Figure 1. 1. What is the possible differential diagnosis for Ingrid’s mouth soreness? 2. What is the most likely diagnosis for Ingrid’s oral condition? 3. How would you confirm this diagnosis? 4. What management options could help alleviate Ingrid’s oral symptoms? 5. What is Ingrid’s prognosis? What advice would you give her? 6. What is your differential diagnosis? 7. How would you finalise the diagnosis? What investigations should you consider? 8. How would you counsel Ingrid about her upcoming cancer management? 9. How would you answer Ingrid? #Week27_Case3
Naru is a woman aged 55 years who presents with a one-year history of oral burning. She reports that it is constant, predominantly affecting the anterior tip of her tongue and hard palate, and she feels that it is gradually getting worse. Her medical history includes type 2 diabetes, asthma, gastroesophageal reflux, hypertension, depression and anxiety. Her daily medications include metformin 500 mg, escitalopram 10 mg, pantoprazole 20 mg and ramipril 5 mg. She uses a corticosteroid inhaler (budesonide/formoterol 160/9 µg) daily for her asthma. Naru does not smoke and consumes 1–2 standard alcoholic beverages per week when out socially with friends. 1. What are the possible causes of oral burning? 2. What further information would you like to obtain from Naru in relation to her symptoms?
3. Based on Naru’s history and the plaques visible, what would be the most likely diagnosis? 4. What are some signs and symptoms of oral candidosis? 5. How is oral candidosis best diagnosed and managed? 6. What further tools or investigations would be helpful to establish the cause of Naru’s oral burning? 7. Assuming there are no signs of oral pathology or mucosal lesions, what could Naru’s diagnosis be? 8. How is burning mouth syndrome (BMS) treated? #Week27_Case2
