Oral Cancers - Clinical Features & Diagnosis - A snapshot

56yrs /f What is the following birth defect?rhinolalia present

I treated this patient whose chief complaint was Bruxism & unable to chew food properly & associated pain in multiple teeth. (Not chewing food properly before swallowing is also a cause for obesity & intern going diabetic. Obesity is one of the cause going to aggravate OSA. A vicious cycle) On examination found almost all of her posterior teeth worn out with loss of OVD as shown in pic. Pain was due to pulp/nerve involvement, as enamel protection was eroded due to grinding. On detailed history she told she has snoring problem which was disturbing the family. Gasping for breath at times too. Now it's 2 months that her dental treatment is over ( ie RCT- Vertical height raise- individuals crowns of choice given to the 'raised bite' with proper "key of occlusion" & 'functional-non functional cuspal alignments' as shown in pic.) that she says that her snoring issue is gone/solved too !! & that she need not visit another doc for that problem which was bothering all of them. Though treatment was not intended towards snoring or OSA,...it's all because -Restoring the lost vertical height & key of occlusion that mandible doesn't slide back & TMJ is in rest position. Have also given her a custom made night guard to prevent habit of Bruxism which if nocturnal & subconscious- can't be counseled. When ever we see a patient with heavy snoring & having sleep apnia, we get to see, in 70-80% of such patients, -- with these dental anomalies too (if not due to glandular or enlarged uvula etc) which needs to be definitely addressed. 1- Posterior teeth grinded / worn out 2- Flat cups with no "key of occlusion" which make lower jaw slide back easily 3-loss of functional & non functional contact points. 4- Loss of OVD (vertical height ) 5- Anterior deep bite (deep exterior fold line near mentum) 6- Associated TMJ arthralgia (due to backward push of the Mandible- TMJ Joint is not in its rest position) 7-Scalloped tongue, where the tongue has tiny ridges on its tip (because it is constantly trying to push the mandible forward.) Addition associated habit would be Bruxism (often tooth grinding) which is a first sign of sleep apnea. A tell tale sign. I present this case here is b'cause the role of Dentists in treating snoring & Sleep apnia (non surgical) to correct above mentioned dental issues. Other role was recently posted --Mandibular Advancement Device [ I have no permissions to show certain of her pics in more detail & zoomed pics from this camera may not be appriciated too.]

A 82yrs old presented with C/o difficulty in swallowing,fluroscopy was done.Spot diagnosis??

what is this condition which is often seen in Plummer Vinson syndrome?

#INTERNAL_MEDICINE A 40 yo British woman presents with retrosternal chest pain that radiates to the back. There is associated difficulty swallowing, regurgitation, & heartburn. She did respond to calcium channel blocker and proton pump inhibitor. Her barium swallow x-ray is as shown below. What is the most likely diagnosis? A. Achalasia B. Angina pectoris C. Diffuse esophageal spasm D. Myocardial infarction