Oral Medicine Clinic Notes

Question 1

What special tests would you perform to investigate suspected Crohns?

Answer 1

Fecal Calprotectin
Full blood count
ESR
CRP
Colonoscopy

Question 2

What special tests would you consider for a patient with suspected sarcoidosis?

Answer 2

Serum ACE

Question 3

A patient presents with a small redcurrant linear ulcer - what granulomatosis diseases could be the cause?

Answer 3

Sarcoidosis
Crohn’s / oral crohns
TB
OFG

Question 4

What special tests would you consider to confirm a diagnosis of tuberculosis?

Answer 4

Chest X-ray

Question 5

How can granulomatus inflammatory disease present in the mouth?

Answer 5

Ulcers
Fissures
Cobblestoning
Stag Horning

Question 6

What is a granulomatus inflammatory response?

Answer 6

A type of chronic inflammation characterised by focal collections of giant cells, mast cells, and epithelioid cells

Question 7

How can you diagnosis OFG?

Answer 7

No evidence of Crohn’s
Histopathological analysis
Clinical examination
Medical history

Question 8

What serum bio markers can be used to detect chronic inflammation?

Answer 8

C-reactive protein (CRP)
Erythrocyte sedimentation rate (ESR)
Plasma viscosity (PV)

Question 9

How can a chronic granulomatic inflammatory disease cause lip swelling?

Answer 9

Inflammation of the lymphatic tissue
Build up of fibrinoginic scar tissue
Leading to swelling

Question 10

How would you differentiate between a mucocele and a lip swelling from a granulomatous infection?

Answer 10

Mucoceles are localised
Granulomatus infection is broader and will affect the whole lip

Question 11

A patient presents with a small red lesion on the tip of the tongue. She has said she bit it a year ago, but it never resovolved. The lesion is homongenous, well defined, and is raised off the tongue. Give a differential diagnosis.

Answer 11

Traumatic ulcer
AV malformation
Haemangioma
Pyogenic granuloma

Question 12

What type of lesion is this, and what is the probable cause?

Answer 12

Median rhomboid glossitis
Typically caused from inhaler use

Question 13

What is ABC when describing a lesion?

Answer 13

Area border colour.

Question 14

List four things that may make you more suspicous a lesion could be malignant?

Answer 14

Unilateral lesions
Lesions on the ventrolateral tongue or FoM
Non-homogenous lesions
Lesions persisting more than three weeks
Rolled borders
Hard to touch
Increase in size
Poorly defined margins

Question 15

Give three blood biomarkers for sepsis?

Answer 15

CRP
ESR
Lactate

Question 16

What are the sepsis six?

Answer 16

1. Contact GP or clincian for suport
2. Blood tests - Lactate
3. Give oxygen
4. Give water
5. Give anti-biotics
6. Monitor

Question 17

Describe how a maxfax surgeon would remove a potentially malignant lesion?

Answer 17

Remove anything that looks suspicous, with the help of dyes and other visual aids. They will remove the lesion so around a 1cm margin of healthy tissue will be kept.

The margin will be checked for its dysplasia status.