Ulcer in tongue
Female/Hindu/59 yrs Chief Complaints Pain in throat + difficulty in diglutation for 3 months History HTN for 6 yrs, patient took medicines like atrovastin 10 and olmesar 20 Vitals BP- 140/86 PR- 101 SPO2-98 CHEST CLEAR Physical Examination O/E - Ulcer in tongue (Photo attached) Management I prescribed Becozyme C Forte- BD x 10 days Zytee Gel - Twice a day x 7 days Dx and Rx please
Traumatic ulcer tongue Explore possibilities of sharp tooth injury Tab cefixime ofloxacin bd Locally hexigel kenacort gel frequently Multivitamin suppliment
Case of Apthous Ulcer . Treatment , 1. Mouth gargle Cipo-fresh , twice daily. 2. Gel-Metrogyl-DG-forte apply Thrice daily. 3. Tablet Ketorol-DT, BD for 5 days.
D/d:- Pharyngitis Glossopharyngeal neuralgia Hamular bursitis Tonsillitis Elongated styloid process Adv CT of affected area Refer to ent surgeon Rx:- Tab O2 twice daily for 5 days post meals if pt not alcoholic Else Tab Augmentin 625mg Coolora mouthwash 2-3 times daily for 14 days Warm saline gargles between meals Tab Zerodol P sos 8 hourly
Traumatic ulcer tongue Explore possibilities of sharp tooth injury Tab cefixime ofloxacin bd Locally hexigel kenacort gel frequently Multivitamin suppliment
If not respond to conservative management Then Go for biopsy from the ulcer Dentist opinion should be taken
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