Diagnosis-OMFS & Medicine

A 43-year-old man comes to the dental clinic with the complaint of difficulty in opening his mouth. Previous dental history reveals burning sensation when eating spicy foods and ulcerations of the oral mucosa. Palpation of buccal mucosa reveals a firm fibrous texture. What is the most likely diagnosis? What do you think the cause of the condition could be?

Examination of a child shows enlargement of left side of tongue with small, elevated greyish-pink nodules, some of which are fluid-filled with rest of oral cavity being normal. Most likely diagnosis of the lesion is

A patient present with swelling in neck near the angle of mandible on right side which disappear on applying pressure to it. Intraorally a dome-shaped, bluish swelling was present in floor of mouth on right side. Most likely diagnosis of the lesion is

A patient present with small yellow spots, present bilaterally on buccal mucosa opposite to posterior teeth without any other associated complaint. Most probable diagnosis of the condition is

A patient present with a bilateral grayish white lesion on buccal mucosa which disappear when stretched. The most likely diagnosis is

A 34-year-old female patient came to your clinic with the chief complaint of swelling on the lateral surface of the tongue. The patient gave a history of trauma at the same site 10 years back with no history of associated pain or bleeding from the site. On intraoral examination, there was a growth measuring about 1.5cm × 1.5cm, which was red in color with a bluish hue present at the left lateral surface of the tongue. The growth was soft to palpate, and it showed blanching on application of pressure. What is your provisional diagnosis?

A 35-year-old female patient came to your clinic with the chief complaint of dry lips and mouth, bilateral submandibular edema and ocular dryness. What is the probable diagnosis?

On palpation, the lymph nodes were found to be rubbery in consistency. What is your probable diagnosis?

Twitching of facial muscles following tapping over the facial nerve in front of the ear is suggestive of

A 24-year-old female has flaccid bullae in the skin and oral erosions. Histopathology shows intra-epidermal acantholytic blisters. The most likely diagnosis is

A 45-year-old male has multiple grouped vesicular lesions present on the T10 segment dermatome associated with pain. The most likely diagnosis is

A 4-year-old child presents with fever, gingival bleeding and extensive oral ulceration in his mouth. His medical history is unremarkable. What would be your most likely diagnosis?

A 60-year-old patient presented with several bullous lesions for the last 3 days. Each bullous lesion was surrounded by an erythematous halo. There were multiple target lesions. Patient also had oral erosions. The most likely diagnosis is

A 6-year-old child comes to your clinic with the history of low grade fever, anorexia, diarrhea, vomiting, lymphadenopathy, and pharyngitis. On examination you notice vesicular lesions present bilaterally on the extensor surface of the skin of hands, fingers, feet, toes, tongue, check mucosa, tonsils and pharynx. What is your clinical diagnosis?

A patient on antibiotic therapy for scarlet fever develops white plaques on his oral mucosa which when scraped with tongue blade leaves a painful bleeding surface. The most probable diagnosis is

A patient presented with asymptomatic, smooth, circumscribed red area in midline anterior to circumvallate papillae on the dorsum of tongue with microscopic evidence of epithelial hyperplasia. The most probable diagnosis of the condition is

A middle-aged patient complains of periodic burning of her buccal mucosa. Oral examination shows slightly raised, linear, grayish-white plaque present bilaterally on buccal mucosa. Biopsy of the lesion shows acanthosis, surface keratosis with vacuolation of cells of basal cell layer with cellular inflammatory infiltrate localized to sub- epithelial connective tissue. Most likely diagnosis is

A patient present with an asymptomatic white corrugated patch present bilaterally on his buccal mucosa. He also reports the occurrence of same kind of lesion in his mother and younger brother. Most likely diagnosis is

A patient present with erythematosus scaly lesions on extensor aspect of elbows and knee. The clinical diagnosis is achieved by

A patient reported with an asymptomatic white patch on buccal mucosa which cannot be rubbed off. The patch was present for the last 3 months. Patient is a heavy cigarette smoker. Most probable diagnosis of the lesion is

A 27-year-old female reported to the dental clinic with a complaint of recurring and subsiding burning sensation in the mouth and sensitivity to hot and spicy food for the last 8 months. She also complains of red areas on the tongue concomitant to the burning sensation and disappearance of the red areas when burning subsides. Oral examination reveals multiple demarcated zones of erythema on the tongue. These zones are surrounded by slightly elevated serpentine, white borders. What do you think would be the most appropriate diagnosis?

A 30-year-old patient reported to dental clinic with the chief complaint of lesion on her tongue. She had similar lesions at the same site previously and they healed in a couple of weeks. Which of the following lesions should head your list of differential diagnosis?

A 45-year-old female presents with a 6 months’ history of recurrent mealtime swelling and pain in the floor of her mouth. Clinical examination does not reveal any dental abnormality. What is the most likely cause of her symptoms?

A 40-year-old male presents to you with paroxysmal, sharp, lancinating pain affecting one side of the throat and base of the tongue that is precipitated by swallowing, chewing and coughing. The most probable diagnosis in this case is

A female patient complains of pain in right ear radiating towards the angle of mandible. Clicking sounds were present in right temporomandibular joint. Results of palpation and radiographic examination are negative. The most probable diagnosis is

A 25-year-old male patient visited your clinic with a chief complaint of an ulcer on tip of the tongue. On examination, the ulcer was found to be soft, with undermined edges and serosanguineous discharge was observed. What is the most probable diagnosis?

A 60-year-old male presents with unilateral facial paralysis, cutaneous lesions of external meatus hearing defects, and vertigo. What would be your most likely diagnosis?

A 36-year-old male patient came to the dental clinic with the chief complaint of erosions at the corner of the lips. The dental history was found to be normal. What is the most likely diagnosis?

Patient comes to your clinic complaining that the denture has become tight. On intraoral examination, everything appeared to be normal, but when the patient stands, you notice that his legs curved. What is your diagnosis?

A 25-year-old patient presented to your clinic with an infection and swelling of lymph gland tissue located on both sides of the back of the throat. It is usually caused by virus or, less commonly, a bacterium. The most likely diagnosis is:

A 60-year-old patient who is a denture wearer comes to your clinic for the routine checkup. On examination, you observe glossitis and angular cheilitis. It could be due to:

Patient came to your clinic with a lesion confined to the middle of the hard palate. On clinical examination, the lesion was found to be fluctuant and tender. Radiographically, a radiolucent area between the two central incisors was seen. The diagnosis will be:

A 58-year-old male presents with hemorrhagic crusting of his lips following a subject of antibiotic therapy. He does not have any systemic manifestations. What would be your most likely diagnosis?

A 12-year-old male patient presents with a deficiency at the malar bone, open bite and normal mental abilities. What is your most likely diagnosis?

A 32-year-old male patient visited your clinic with a chief complaint of an ulcer on tip of the tongue that was painless. On examination, the ulcer was found to be firm, with sharp edges and wash leather slough was observed on floor of ulcer. What is the most probable diagnosis?

A 6-year-old girl is referred to you by a dermatologist for dental treatment. On oral examination, you find hypoplastic teeth, scarring caused by trauma from suckling, eating and tooth brushing resulting into immobility of tongue and lips, cracks at corners of mouth & limited mouth opening. What is the most probable diagnosis is this case?

A 46-year-old male patient reported with the chief complaint of pain in his lower left back tooth region of 1-week duration. His medical and dental history was noncontributory. On clinical examination, extraorally and intraorally, no obvious changes were seen in the region of pain. His pantomogram revealed root stumps in relation to maxillary second premolar and a well-defined ovoid radiolucency with sclerotic margin below the inferior alveolar canal and above the lower border of the mandible below the apices of lower second and third molar on the left side was found. Based on the clinical and radiological features, what is your most likely diagnosis?

A 58-year-old female presents with recurrent oral and corneal ulceration. Her biopsy specimen reveals sub-epithelial bullae. What is your most likely diagnosis?

A painful crater-like 1.5 cm ulcer develops within one week on the hard palate mucosa of a 40-year old female. The most likely diagnosis is:

A 4-year-old child has a fever of 102º F; and following upper respiratory tract infection, discrete vesicles and ulcers on the soft plate and pharynx are noted. The most probable diagnosis is:

A herpes virus associated red lesion, mostly seen in the hard or soft palate, which is a strongly associated lesion in HIV infection and may be seen with other opportunistic infections as well, is provisionally diagnosed as

A congenital, bilateral, keratotic white lesion seen on buccal mucosa will be provisionally diagnosed as

A 50-Year-old male patient, complained of single painful ulcer in Hard palate with productive cough since 6 months. It is provisionally diagnosed as

A 65-Year-old male patient reports with a single, deep looking ulcer present in the posterior hard palate since 1 week. It shows no signs of healing till now. On questioning, patient gives a negative history of tobacco or alcohol abuse and non-contributory medical and drug history. What is the provisional diagnosis?

A teenage female reports to the dental clinic with complaint of multiple shallow ulcers in labial mucosa and alveolar mucosa with no signs similar cutaneous lesions. On questioning, she gives history of similar lesions last month. Incisional biopsy, gave a picture of non- specific inflammatory lesion. The provisional diagnosis is?

A 30-year-old female patient reports with the complaint of intermittent swelling and recurrent pus discharge from the pre- maxillary area since 2 years. On questioning, she didn’t reveal any history of trauma to the maxillary anterior teeth and even on clinical examination, no sign of pulp necrosis was seen. Shallow periodontal pockets were found on probing. On Perapical radiograph, a well- defined radiolucency is seen with corticated borders, intervening between anterior nasal spine. Provisional diagnosis is:

A male patient reported with a slow growing, white colored, small, rough-surfaced, pedunculated enlargement seen on the right buccal mucosa. On palpation it is firm in consistency. On further questioning, he confirmed a similar lesion in his genital organs. The condition is provisionally diagnosed as?

A patient reported with a small, roughly oval, smooth surfaced swelling of about 1 × 2 cm in size seen in the mandibular posterior vestibular region since 6 months. On examination, a large grossly decayed tooth is seen in the same region, associated with chronic draining sinus. The swelling is mild tender and firm on palpation. The condition is provisionally diagnosed as?

Any trauma sustained by a jaw bone and communicating with the teeth bearing section of the alveolus should be considered a

A patient came with history of sharp, lancinating pain on right side of face, not relieved by analgesics. On progressive symptoms carbamazepine was found to be effective in this patient. What is the most probable diagnosis?

A 45-year-old patient woke up with swollen face, puffiness around the eyes, and edema of the upper lip with redness and dryness. When he went to bed he had the swelling, pain or dental complaints. Examination shows several deep silicate restorations in the anterior teeth but examination is negative for caries, thermal tests, percussion, palpation, pain, and periapical area of rarefaction. The patient’s temperature is normal. The day before he had a series of gastrointestinal x-rays at the local hospital and was given a clean bill of health. The condition is

An 8-year-old child presents with all permanent incisors erupted, but yet only three permanent first molars are erupted. Oral examination revealed a large gingival bulge in the unerupted permanent molar area. A panoramic radiograph showed the alveolar emergence of the unerupted permanent first molar crown and three fourth root developments, there are no other radiographic abnormalities. The most appropriate diagnosis and treatment plan in such situation would be

A patient with mild gnawing pain radiating around the right TMJ reported to our unit requesting extraction of upper and lower third molars of the right side. On examination, the muscles on the affected side were tender and the pain was radiating. Intraoral examination revealed fully erupted, non-carious upper and lower third molars in occlusion. The most probable diagnosis is

A 30-year-old patient had a hard swelling on the palate in the midline measuring around0.5 cm to 1cm. The swelling was painless on palpation and non-mobile. What is the most probable diagnosis?

A 40-year-old female patient presented with a swelling on the right side of the forehead since many years, and is gradually growing in size. On examination, it was well circumscribed, soft, and not attached to the underlining structure. Slip sign was positive. What is your diagnosis and management?

Following road traffic accident, a 50-year male patient presented with disturbed occlusion, ecchymosis in the greater palatine foramen region, ecchymosis in the buccal sulcus and mild mobility of the maxillary segment. And no tenderness over the nasal bridge or frontozygomatic suture region. The clinical diagnosis will be

Patient reports to the clinic with the history multiple lesions of the head and neck manifested as nevi with is the most probable diagnosis?