A 41-year-old female presented with complaints of tooth deposits for 2 years and left-sided facial pain when consuming citrus or cold foods. On examination, bilateral parotid swelling was observed as well as blanched areas on the buccal mucosa with fibrotic bands. Based on the history of recurrent mumps, parotid swelling, and oral lesions, provisional diagnoses of oral submucous fibrosis and sialosis were made. Treatment involved intralesional steroid injections and lifestyle modifications.
Oral Submucous Fibrosis and its Management.Maxfac Center
Oral Submucous Fibrosis and its various treatment modalities inclusive of both non-surgical and surgical management.
Mentor: Dr Saikat Saha MDS, OMFS, SIliguri, West Bengal, India
Address: MAXFAC Center for Oral and Maxillofacial and Head & Neck Surgery, Siliguri
Email : maxfacmail@gmail.com
A brief description of all topics to recent advances,SDD, host modulation and diabetes, host modulation in smokers, chemically modified tetracyclines, bisphosphonates
Oral Submucous Fibrosis and its Management.Maxfac Center
Oral Submucous Fibrosis and its various treatment modalities inclusive of both non-surgical and surgical management.
Mentor: Dr Saikat Saha MDS, OMFS, SIliguri, West Bengal, India
Address: MAXFAC Center for Oral and Maxillofacial and Head & Neck Surgery, Siliguri
Email : maxfacmail@gmail.com
A brief description of all topics to recent advances,SDD, host modulation and diabetes, host modulation in smokers, chemically modified tetracyclines, bisphosphonates
Dentists play an important role in the diagnosis and management of desquamative gingivitis. The importance of being able to recognise and properly diagnose this condition is accentuated by the fact that a serious and life threatening disease may initially manifest as desquamative gingivitis.
mucogingival surgery or plastic surgery of muco-gingival tissue is a surgical procedure targeted to correct and eliminate anatomic, developmental and traumatic alterations of gingiva.
Dentists play an important role in the diagnosis and management of desquamative gingivitis. The importance of being able to recognise and properly diagnose this condition is accentuated by the fact that a serious and life threatening disease may initially manifest as desquamative gingivitis.
mucogingival surgery or plastic surgery of muco-gingival tissue is a surgical procedure targeted to correct and eliminate anatomic, developmental and traumatic alterations of gingiva.
ERYTHROPOIETIC PORPHYRIA WITH ADENOMATOID ODONTOGENIC TUMOUR AS AN INCIDENTAL...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
Kimura disease is a rare chronic inflammatory disorder of unknown etiology. It usually presents as subcutaneous mass in the head and neck region and is frequently associated with regional lymphadenopathy or salivary gland involvement.It is rare in India, only 200 cases have been reported worldwide since its histopathological diagnosis.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
It is also called Oral Fibroma or Irritational Fibroma or Focal Fibrous Hyperplasia.
Fibroma is a benign neoplasm of fibrous connective tissue origin.
It is characterized by excessive proliferation of fibroblast cells with synthesis of large amount of collagen.
Although a large number of fibrous over-growths are found inside the oral cavity, most of these are reactive lesions occurring as a result of trauma or local irritation and therefore true fibromas are extremely rare.
Jain G et al (2017) stated that traumatic irritants include calculi, foreign bodies, overhanging margins, restorations, margins of caries, chronic biting, sharp spicules of bones, and overextended borders of appliances. Fibroma, a benign neoplasm of fibroblastic origin, is reactive in nature and represents a reactive hyperplasia of fibrous connective tissue in response to local irritation or trauma rather than being a true neoplasm.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
2. A 41 year old female
patient reported with
the chief complaint of
deposits on the teeth
for the past 2 years and
pain in the left side of
the face during intake
of citrus food and cold
food.
3. HISTORY OF PRESENTING ILLNESS
History of pricking pain on the left side of the face
during intake of citrus food and cold food
radiating to the left ear.
PAST MEDICAL HISTORY
History of incidence of mumps 8 times before 5
years and during the last incidence of mumps
unilateral swelling was present on the left side of
the face.
10. INSPECTION- Bilateral diffuse swelling
seen in the right and left parotid region of
size 4x3 on right and left side, shape is
roughly oval, extending from tragus till the
angle of the mandible, skin of the swelling
appears normal.
PALPATION- Firm in consistency with no
palpable masses or any local rise in
temperature and non tender.
SALIVA-Both parotid ducts were patent and
on milking of parotid gland saliva was
readily expressed from Stensen’s duct.
SALIVARY GLAND
Parotid enlargement
12. SOFT TISSUE EXAMINATION
On inspection,
Presence of blanched area evident on right and left buccal
mucosa.On palpation,
• Inspectory findings with relation to site, size, shape and
extent were confirmed and presence of fibrotic band
seen.
15. AREA OF INTEREST : Right and left parotid
region
EXTRAORAL EXAMINATION :
INSPECTION : Bilateral diffuse swelling seen in the right
and left parotid region of size 4x3 on right and left side,
shape is roughly oval, extending from tragus till the angle
of the mandible, skin of the swelling appears normal.
PALPATION : It is firm in consistency with no palpable
masses or any local rise in temperature and non tender.
SALIVA : Both parotid ducts were patent and on milking of
parotid gland saliva was readily expressed from Stensen’s
duct.
16. INTRAORAL EXAMINATION
HARD TISSUE
INSPECTION : No abnormalities detected.
PALPATION : No tenderness on palpation.
SOFT TISSUE
INSPECTION : No abnormalities detected.
PALPATION : No tenderness on palpation.
17. INTRAORAL EXAMINATION
HARD TISSUE
INSPECTION : No abnormalities detected.
PALPATION : No tenderness on palpation.
SOFT TISSUE
INSPECTION : Blanched area seen in right and left buccal mucosa.
PALPATION : Presence of fibrotic bands in right and left buccal
mucosa and is non tender.
AREA OF INTEREST : Right and left buccal
mucosaEXTRAORAL EXAMINATION
INSPECTION : No abnormalities detected.
PALPATION : No tenderness on palpation.
18. CASE ANALYSIS :
A 44 years old female patient came to the department of oral medicine and
radiology with a chief complaint of deposits on teeth and pain in the left side of
the face during intake of citrus food and cold food. Patient has a history of
incidence of mumps 8 times before 5 years and during the last incidence of
mumps unilateral swelling was present on the left side of the face. Patient has a
history of tobacco (Supari) chewing for a year before 1 year.
No abnormalities detected on general examination and systemic review.
On extraoral examination, bilateral diffuse swelling seen in the right and left
parotid region of size 4x3 on right and left side, shape is roughly oval, extending
from tragus till the angle of the mandible, skin of the swelling appears normal. It
is firm in consistency with no palpable masses or any local rise in temperature and
non tender. Patient has a restricted mouth opening of 22.5mm.
On intraoral examination, blanched area seen on right and left buccal mucosa.
On palpation, fibrotic bands in right and left buccal mucosa and no tenderness was
present.
On considering patient’s chief complaint, history of presenting illness, intraoral
20. INVESTIGATION :
USG, CBC, Blood glucose level and blood pressure
RAGIOGRAPHIC DIAGNOSIS
OPG dated 3/7/18 reveals well defined radiopaque structure in
the periapical region of 37 and 45 surrounded by radiolucent
band suggesting idiopathic osteosclerosis.
21. FINAL DIAGNOSIS :
Oral submucous fibrosis
Sialosis
PROGNOSIS : Fair
TREATMENT PLAN :
Patient education and motivation.
Advice bland food intake.
Intralesional dexamethasone injection 1 vial, biweekly for
6 weeks.
24. Oral submucous fibrosis (OSF) is a chronic,
progressive, scarring disease, that
predominantly affects people of South-East
Asian origin.
25. HISTORY
In 1952, Schwartz coined the term atrophica
idiopathica mucosa oris to describe an oral
fibrosing disease.
Joshi subsequently coined the term oral
submucous fibrosis for the condition in
1953.
29. Chronic placement of betel quid
Arecoline
Arecaidine
Fibroblast stimulation and
proliferation
Increased collage synthesis
Fibrosis
Rigidity and limited mouth
opening
Role of Arecoline:
30. Role of tannins (Stabilization of
collagen)
Large quantity of tannins in
areca nut
Reduced collagen degradation
Inhibits
collagenase
33. STAGE I / Early OSMF
Erythematous mucosa
Vesicles
Mucosal ulcers
Melanotic mucosal
pigmentation and
mucosal
petechiae
34. STAGE II / MODERATE OSMF
Blanching of the
oral mucosa
Vertical and circular
palpable fibrous bands
Marble-like
appearance
Blanched and
leathery
floor of the mouth
Shrunken cheeks
and
35. STAGE III / SEVERE OSMF
Leukoplakia and
erythroplakia is
present
Speech and hearing
difficulties may
occur
36. Functional staging
Staging/Grading Maximum intericisal mouth opening
Stage I
Stage II
Stage III
Stage IV
Stage V
Maximum interincisal mouth opening up to or
>35 mm
Maximum interincisal mouth opening between
25 and 35 mm
Maximum interincisal mouth opening between
15 and 25 mm
Maximum interincisal mouth opening between
5 and 15mm
Maximum interincisal mouth opening between
<5 or nil
National journal of maxillofacial surgery, 201
40. PHYSIOTHERAPY
This includes measures such as forceful mouth opening
and heat therapy. Heat has been commonly used and
the results have been described as satisfactory.
LOCAL DRUG
DELIVERY
Local injections of corticosteroids and placental
extract have been tried, in addition to hyaluronidase,
collagenase and similar substances which break down
intercellular cement substances and also decrease
collagen formation.
41. SURGICAL
MANAGEMENT
COMBINED THERAPY
With peripheral vasodilators (nylidrin hydrochloride),
vitamins D, E and ‘B’ complex, iodine, placental
extract, local and systemic corticosteroids and
physiotherapy claim a high success rate in OSF
management
• Surgical intervention is done which includes simple
excision of fibrotic bands with reconstruction using
buccal fat pad and split thickness graft.
•Fibrous resection has led to more fibrosis.
Editor's Notes
Change the title.
Restricted mouth opening and Bilateral parotid swelling – is there any correlation?
(Some thing interesting as above)
In the histories please remove ‘patient has a'
Please remove ‘patient has'
Please remove ‘patient has a’
Bilateral ‘diffuse’ swelling
Area of interest: right and left parotid region
Extra oral examination:
Inspection: bilateral diffuse swelling seen in the right and left parotid region of size_________, shape_______, extent___________, skin of the swelling___________
Palpation: Consistency____________, tenderness
Saliva flow (unstimulated total saliva)/ min________, viscosity__________
Intra oral examination:
Soft tissue examination:
Inspection:
Palpation:
Hard tissue examination:
Inspection:
Palpation:
With similar headings write for the second lesion (OSMF) bt in the soft tissue examination, write as it.
