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6 Cards in this Set
- Front
- Back
Oral burning vs BMS
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- Oral burning has no underling disease
- BMS has clinical disease |
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Management of patient with oral Burning
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Need to rule out
Candadiasis! Vitamin B deficiency - Test Folic acid or vitamin B12 def Diabetes Mellitus Gerd - Endoscopy Hypothyroidism - T3, T3, or TSH Estrogen - Blood draw AIDS |
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BMS symptoms
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Predilection for peri/post menopausal women
- Usually anterior 3rd of tongue and inside lower lips - Rarely affects buccal mucosa or gingiva - No erythema, leukoplakia |
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Flow rates
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Normal
- 0.3-0.4ml/min Unstimulated - 1-2ml/min Stimulated Abnormal - 0.1ml/min - <0.5ml/min |
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Treatment of Traumatic Ulcer
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Treat underlying condition if possible and use antifungals if associated with candidiasis
- Modify meds - Hydration - Mouth moisturizers biotene, salivart |
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Clonazepam
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anti-seizure/anxiolytic
- 0.25mg per day - Do not discontinue without tapering because seizures will result |