AKT question relating to oral ulcer

AKT question relating to oral ulcer InnovAiT References References and and further further information information Acevedo, Acevedo, J. J. (2015). (2015). Cystic Cystic hygroma. hygroma. Retrieved Retrieved Annals Annals of of Vascular Vascular Diseases Diseases,, 7 7(3), (3), 292–299. 292–299. doi: doi: Lo, Lo, K. K. W., W., To, To, K. K. F., F., & & Huang, Huang, D. D. P. P. (2004). (2004). Focus Focus Robbins, Robbins, T. T. K., K., Clayman, Clayman, G., G., Levine, Levine, P. P. A., A., Medina, Medina, from from http://emedicine.medscape.com/article/ http://emedicine.medscape.com/article/ 10.3400/avd.oa.13-00116 10.3400/avd.oa.13-00116 on on nasopharyngeal nasopharyngeal carcinoma. carcinoma. Cancer Cancer Cell Cell,, 5 5(5), (5), J., J., Sessions, Sessions, R., R., Shaha, Shaha, A., A., & & Wolf, Wolf, G. G. T. T. (2002). (2002). 994055-overview 994055-overview 423–428. 423–428. Retrieved Retrieved from from www.ncbi.nlm.nih.gov/ www.ncbi.nlm.nih.gov/ Neck Neck dissection dissection classification classification update: update: Revisions Revisions Gupta, Gupta, A., A., & & Karjodkar, Karjodkar, F. F. R. R. (2011). (2011). Plunging Plunging pubmed/15144950 pubmed/15144950 proposed proposed by by the the American American Head Head and and Neck Neck Bailet, Bailet, J. J. W., W., Abemayor, Abemayor, E., E., Jabour, Jabour, B. B. A., A., Hawkins, Hawkins, ranula: ranula: A A case case report. report. ISRN ISRN Dentistry Dentistry.. 806928. 806928. Society Society and and the the American American Academy Academy of of R. R. A., A., Ho, Ho, C., C., & & Ward, Ward, P. P. H. H. (1992). (1992). Positron Positron emis- emis- doi: doi: 10.5402/2011/806928 10.5402/2011/806928 Mashberg, Mashberg, A., A., & & Samit, Samit, A. A. (1995). (1995). Early Early diagnosis diagnosis Otolaryngology–Head Otolaryngology–Head and and Neck Neck Surgery. Surgery. sion sion tomography: tomography: A A new, new, precise precise imaging imaging modal- modal- of of asymptomatic asymptomatic oral oral and and oropharyngeal oropharyngeal squa- squa- Haugen, Haugen, B. B. R., R., Sawka, Sawka, A. A. M., M., Alexander, Alexander, E. E. K., K., Archives Archives Otolaryngolgy Otolaryngolgy -- Head Head & & Neck Neck Surgery Surgery,, ity ity for for detection detection of of primary primary head head and and neck neck tumors tumors mous mous cancers. cancers. CA: CA: A A Cancer Cancer Journal Journal for for Bible, Bible, K. K. C., C., Caturegli, Caturegli, P., P., Doherty, Doherty, G. G. M., M., & & 28 28(7), (7), 751–758. 751–758. doi: doi: 10.1001/archotol.128.7.751 10.1001/archotol.128.7.751 and and assessment assessment of of cervical cervical adenopathy. adenopathy. Clinicians Clinicians,, 45 45(6), (6), 328–351. 328–351. Retrieved Retrieved from from Williams, Williams, M. M. D. D. (2015). (2015). American American Thyroid Thyroid Laryngoscope Laryngoscope,, 102 102(3), (3), 281–288. 281–288. doi: doi: 10.1288/ 10.1288/ www.ncbi.nlm.nih.gov/pubmed/7583906 www.ncbi.nlm.nih.gov/pubmed/7583906 Salam, Salam, G. G. A. A. (2002). (2002). Lipoma Lipoma excision. excision. American American Association Association management management guidelines guidelines for for adult adult 00005537-199203000-00010 00005537-199203000-00010 Family Family Physician, Physician, 65 65(5), (5), 901–904. 901–904. Retrieved Retrieved patients patients with with thyroid thyroid nodules nodules and and differentiated differentiated Mehanna, Mehanna, H., H., McQueen, McQueen, A., A., Robinson, Robinson, M., M., & & from from www.ncbi.nlm.nih.gov/pubmed/ www.ncbi.nlm.nih.gov/pubmed/ Bychkov, Bychkov, A. A. (2016). (2016). Thyroid Thyroid gland- gland- congenital congenital thyroid thyroid cancer: cancer: The The American American Thyroid Thyroid Paleri, Paleri, V. V. (2012). (2012). Salivary Salivary gland gland swellings. swellings. BMJ BMJ,, ?term ?term¼¼Lipoma Lipomaþþexcision excisionþþsalam salam anomalies- anomalies- thyroglossal thyroglossal duct duct (TGD (TGD cyst). cyst). Association Association Guidelines Guidelines Task Task Force Force on on Thyroid Thyroid 345 345,, e6794. e6794. doi: doi: 10.1136/bmj.e6794 10.1136/bmj.e6794 Retrieved Retrieved from from www.pathologyoutlines.com/ www.pathologyoutlines.com/ Nodules Nodules and and Differentiated Differentiated Thyroid Thyroid Cancer. Cancer. Sanderson, Sanderson, R. R. J., J., & & Ironside, Ironside, J. J. A. A. (2002). (2002). NICE. NICE. (2015). (2015). Suspected Suspected cancer: cancer: Recognition Recognition and and topic/thyroidthyroglossal.html topic/thyroidthyroglossal.html Thyroid Thyroid,, 26 26(1), (1), 1–133. 1–133. doi: doi: 10.1089/thy.2016.0628 10.1089/thy.2016.0628 Squamous Squamous cell cell carcinomas carcinomas of of the the head head and and neck. neck. referral. referral. Retrieved Retrieved from from www.nice.org.uk/guid- www.nice.org.uk/guid- Coughlin, Coughlin, A. A. (2009). (2009). Pediatric Pediatric cervical cervical lymphaden- lymphaden- BMJ, BMJ, 325 325(7368), (7368), 822–827. 822–827. Retrieved Retrieved from from Hong, Hong, C-H. C-H. (2015). (2015). Branchial Branchial cleft cleft cyst. cyst. Retrieved Retrieved ance/ng12/resources/suspected-cancer-recogni- ance/ng12/resources/suspected-cancer-recogni- opathy. opathy. Grand Grand rounds rounds presentation, presentation, The The www.ncbi.nlm.nih.gov/pubmed/12376446 www.ncbi.nlm.nih.gov/pubmed/12376446 from from http://emedicine.medscape.com/article/ http://emedicine.medscape.com/article/ tion-and-referral-pdf-1837268071621 tion-and-referral-pdf-1837268071621 University University of of Texas Texas Medical Medical Branch, Branch, Department Department 1110351-overview 1110351-overview SIGN. SIGN. (2006). (2006). Diagnosis Diagnosis and and management management of of head head NICE. NICE. (2016). (2016). Neck Neck lump. lump. Retrieved Retrieved from from of of Otolaryngology. Otolaryngology. Retrieved Retrieved from from www.utm- www.utm- and and neck neck cancers. cancers. Retrieved Retrieved from from www.sign.a- www.sign.a- b.edu/otoref/grnds/pedi-lymphnode-090924/ b.edu/otoref/grnds/pedi-lymphnode-090924/ Hoornweg, Hoornweg, M. M. J., J., Smeulders, Smeulders, M. M. J., J., Ubbink, Ubbink, D. D. T., T., https:cks.nice.org.uk/neck-lump#!diagnosissub https:cks.nice.org.uk/neck-lump#!diagnosissub c.uk/pdf/sign90.pdf c.uk/pdf/sign90.pdf pedi-lymphnode-0909 pedi-lymphnode-090924.pdf 24.pdf & & van van der der Horst, Horst, C. C. M. M. (2012). (2012). The The prevalence prevalence and and NICE. NICE. (2017). (2017). Suspected Suspected cancer: cancer: Recognition Recognition and and risk risk factors factors of of infantile infantile haemangiomas: haemangiomas: A A case-con- case-con- Som, Som, P. P. M. M. (1992). (1992). Detection Detection of of metastasis metastasis in in cer- cer- Davies, Davies, L., L., & & Welch, Welch, H. H. G. G. (2006). (2006). Increasing Increasing inci- inci- referral. referral. Retrieved Retrieved from from www.nice.org.uk/guid- www.nice.org.uk/guid- trol trol study study in in the the Dutch Dutch population. population. Paediatric Paediatric and and vical vical lymph lymph nodes: nodes: CT CT and and MR MR criteria criteria and and differ- differ- dence dence of of thyroid thyroid cancer cancer in in the the United United States, States, 1973- 1973- ance/ng12/resources/suspected-cancer-recogni- ance/ng12/resources/suspected-cancer-recogni- Perinatal Perinatal Epidemiology Epidemiology,, 26 26(2), (2), 156–162. 156–162. doi: doi: ential ential diagnosis. diagnosis. American American Journal Journal of of 2002. 2002. Journal Journal of of the the American American Medical Medical tion-and-referral-pdf-1837268071621 tion-and-referral-pdf-1837268071621 10.1111/j.1365-3016.2011.01214.x 10.1111/j.1365-3016.2011.01214.x Roentgenology Roentgenology,, 158 158(5), (5), 961–969. 961–969. doi: doi: 10.2214/ 10.2214/ Association Association,, 295 295(18), (18), 2164–2167. 2164–2167. doi: doi: 10.1001/ 10.1001/ O’Brien, O’Brien, C. C. J., J., Smith, Smith, J. J. W., W., Soong, Soong, S. S. J., J., Urist, Urist, M. M. ajr.158.5.1566697 ajr.158.5.1566697 jama.295.18.2164 jama.295.18.2164 Hoperia, Hoperia, V., V., Larin, Larin, A., A., Jensen, Jensen, K., K., Bauer, Bauer, A., A., & & M., M., & & Maddox, Maddox, W. W. A. A. (1986). (1986). Neck Neck dissection dissection with with Vasko, Vasko, V. V. (2010). (2010). Thyroid Thyroid fine fine needle needle aspiration aspiration Speight, Speight, P. P. M., M., & & Barrett, Barrett, A. A. W. W. (2002). (2002). Salivary Salivary Drake, Drake, R. R. L., L., Vogl, Vogl, A. A. W., W., & & Mitchell, Mitchell, A. A. W. W. M. M. and and without without radiotherapy: radiotherapy: Prognostic Prognostic factors, factors, pat- pat- biopsies biopsies in in children: children: Study Study of of cytological-histologi- cytological-histologi- gland gland tumours. tumours. Oral Oral Diseases Diseases,, 8 8(5), (5), 229–240. 229–240. (2004). (2004). Gray’s Gray’s anatomy anatomy for for students, students, second second edi- edi- terns terns of of recurrence, recurrence, and and survival. survival. The The American American cal cal correlation correlation and and immunostaining immunostaining with with thyroid thyroid Retrieved Retrieved from from www.ncbi.nlm.nih.gov/pubmed/ www.ncbi.nlm.nih.gov/pubmed/ tion tion.. New New York: York: Elsevier Elsevier Churchill Churchill Livingstone Livingstone Journal Journal of of Surgery Surgery,, 152 152(4), (4), 456–463. 456–463. doi: doi: peroxidase peroxidase monoclonal monoclonal antibodies. antibodies. International International 12363107 12363107 10.1016/0002-9610(86)90324-7 10.1016/0002-9610(86)90324-7 Fazio, Fazio, S. S. B., B., & & Emerick, Emerick, K. K. (2013). (2013). Salivary Salivary gland gland Journal Journal of of Pediatric Pediatric Endocrinology, Endocrinology, 690108. 690108. doi: doi: Stanley, Stanley, M. M. W. W. (2002). (2002). Selected Selected problems problems in in fine fine stones. stones. Retrieved Retrieved from from http://sinalib.ir/uptodate/ http://sinalib.ir/uptodate/ RCGP. RCGP. Clinical Clinical module module 3.15: 3.15: Care Care of of people people with with 10.1155/2010/690108 10.1155/2010/690108 needle needle aspiration aspiration of of head head and and neck neck masses. masses. contents/mobipreview.htm?22/2/22568?source contents/mobipreview.htm?22/2/22568?source¼¼ ENT, ENT, oral oral and and facial facial problems. problems. Retrieved Retrieved from from Li, Li, X., X., Di, Di, B., B., Shang, Shang, Y., Y., Zhou, Zhou, Y., Y., Cheng, Cheng, J., J., & & He, He, Modern Modern Pathology Pathology,, 15 15(3), (3), 342–350. 342–350. doi: doi: 10.1038/ 10.1038/ see_link#H5772522 see_link#H5772522 www.rcgp.org.uk/training-exams/gp-curriculum- www.rcgp.org.uk/training-exams/gp-curriculum- Z. Z. (2009). (2009). Clinicopathologic Clinicopathologic risk risk factors factors for for distant distant modpathol.3880528 modpathol.3880528 overview/online-curriculum/applying-clinical- overview/online-curriculum/applying-clinical- Gad, Gad, A., A., Sayed, Sayed, A., A., Elwan, Elwan, H., H., Fouad, Fouad, F. F. M., M., Kamal Kamal metastases metastases from from head head and and neck neck squamous squamous cell cell car- car- knowledge-section-2/3-15-ent-oral-and-facial- knowledge-section-2/3-15-ent-oral-and-facial- Thandar, Thandar, M., M., & & Jonas, Jonas, N. N. (2004). (2004). An An approach approach to to Eldin, Eldin, H., H., Khairy, Khairy, H., H., & & Hefnawy, Hefnawy, E. E. (2014). (2014). cinomas. cinomas. European European Journal Journal of of Surgical Surgical Oncology Oncology,, the the neck neck mass. mass. Continuing Continuing Medical Medical Education Education,, Carotid Carotid body body tumors: tumors: A A review review of of 25 25 years years experi- experi- problems.aspx problems.aspx 35 35(12), (12), 1348–1353. 1348–1353. doi: doi: 10.1016/j.ejso.2009.06.010 10.1016/j.ejso.2009.06.010 ence ence in in diagnosis diagnosis and and management management of of 56 56 tumors. tumors. 22 22(5), (5), 266–272 266–272 DOI: DOI: 10.1177/1755738018766826 10.1177/1755738018766826 AKT AKT question question relating relating to to oral oral ulcer ulcer A. A. Advise Advise to to see see the the dentist dentist Single Single Best Best Answer Answer B. B. Monitor Monitor and and review review again again in in 22 weeks weeks A A 47-year-old 47-year-old lady lady comes comes to to see see you you with with an an ulcer ulcer on on her her upper upper left left gum gum for for the the past past month. month. She She smokes smokes 10 10 cigarettes cigarettes per per day. day. The The ulcer ulcer C. C. Refer Refer routinely routinely to to the the ear, ear, nose nose and and throat throat (ENT) (ENT) surgeons surgeons is is intermittently intermittently painful. painful. D. D. Refer Refer urgently urgently to to the the ear, ear, nose nose and and throat throat (ENT) (ENT) surgeons surgeons On On examination, examination, she she has has aa 11 cm cm area area of of white white ulceration ulceration on on her her E. E. Trial Trial miconazole miconazole oral oral gel gel upper upper left left gum, gum, which which is is non-tender non-tender to to palpation. palpation. What What is is the the SINGLE SINGLE MOST MOST appropriate appropriate management management option? option? Select Select ONE ONE option option only only Answer Answer DOI: DOI: 10.1177/1755738018767519 10.1177/1755738018767519 Dr Dr Anish Anish Kotecha Kotecha GP GP Partner, Partner, Cwmbran Cwmbran Village Village Surgery, Surgery, Wales Wales http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png InnovAiT: Education and inspiration for general practice SAGE

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InnovAiT References References and and further further information information Acevedo, Acevedo, J. J. (2015). (2015). Cystic Cystic hygroma. hygroma. Retrieved Retrieved Annals Annals of of Vascular Vascular Diseases Diseases,, 7 7(3), (3), 292–299. 292–299. doi: doi: Lo, Lo, K. K. W., W., To, To, K. K. F., F., & & Huang, Huang, D. D. P. P. (2004). (2004). Focus Focus Robbins, Robbins, T. T. K., K., Clayman, Clayman, G., G., Levine, Levine, P. P. A., A., Medina, Medina, from from http://emedicine.medscape.com/article/ http://emedicine.medscape.com/article/ 10.3400/avd.oa.13-00116 10.3400/avd.oa.13-00116 on on nasopharyngeal nasopharyngeal carcinoma. carcinoma. Cancer Cancer Cell Cell,, 5 5(5), (5), J., J., Sessions, Sessions, R., R., Shaha, Shaha, A., A., & & Wolf, Wolf, G. G. T. T. (2002). (2002). 994055-overview 994055-overview 423–428. 423–428. Retrieved Retrieved from from www.ncbi.nlm.nih.gov/ www.ncbi.nlm.nih.gov/ Neck Neck dissection dissection classification classification update: update: Revisions Revisions Gupta, Gupta, A., A., & & Karjodkar, Karjodkar, F. F. R. R. (2011). (2011). Plunging Plunging pubmed/15144950 pubmed/15144950 proposed proposed by by the the American American Head Head and and Neck Neck Bailet, Bailet, J. J. W., W., Abemayor, Abemayor, E., E., Jabour, Jabour, B. B. A., A., Hawkins, Hawkins, ranula: ranula: A A case case report. report. ISRN ISRN Dentistry Dentistry.. 806928. 806928. Society Society and and the the American American Academy Academy of of R. R. A., A., Ho, Ho, C., C., & & Ward, Ward, P. P. H. H. (1992). (1992). Positron Positron emis- emis- doi: doi: 10.5402/2011/806928 10.5402/2011/806928 Mashberg, Mashberg, A., A., & & Samit, Samit, A. A. (1995). (1995). Early Early diagnosis diagnosis Otolaryngology–Head Otolaryngology–Head and and Neck Neck Surgery. Surgery. sion sion tomography: tomography: A A new, new, precise precise imaging imaging modal- modal- of of asymptomatic asymptomatic oral oral and and oropharyngeal oropharyngeal squa- squa- Haugen, Haugen, B. B. R., R., Sawka, Sawka, A. A. M., M., Alexander, Alexander, E. E. K., K., Archives Archives Otolaryngolgy Otolaryngolgy -- Head Head & & Neck Neck Surgery Surgery,, ity ity for for detection detection of of primary primary head head and and neck neck tumors tumors mous mous cancers. cancers. CA: CA: A A Cancer Cancer Journal Journal for for Bible, Bible, K. K. C., C., Caturegli, Caturegli, P., P., Doherty, Doherty, G. G. M., M., & & 28 28(7), (7), 751–758. 751–758. doi: doi: 10.1001/archotol.128.7.751 10.1001/archotol.128.7.751 and and assessment assessment of of cervical cervical adenopathy. adenopathy. Clinicians Clinicians,, 45 45(6), (6), 328–351. 328–351. Retrieved Retrieved from from Williams, Williams, M. M. D. D. (2015). (2015). American American Thyroid Thyroid Laryngoscope Laryngoscope,, 102 102(3), (3), 281–288. 281–288. doi: doi: 10.1288/ 10.1288/ www.ncbi.nlm.nih.gov/pubmed/7583906 www.ncbi.nlm.nih.gov/pubmed/7583906 Salam, Salam, G. G. A. A. (2002). (2002). Lipoma Lipoma excision. excision. American American Association Association management management guidelines guidelines for for adult adult 00005537-199203000-00010 00005537-199203000-00010 Family Family Physician, Physician, 65 65(5), (5), 901–904. 901–904. Retrieved Retrieved patients patients with with thyroid thyroid nodules nodules and and differentiated differentiated Mehanna, Mehanna, H., H., McQueen, McQueen, A., A., Robinson, Robinson, M., M., & & from from www.ncbi.nlm.nih.gov/pubmed/ www.ncbi.nlm.nih.gov/pubmed/ Bychkov, Bychkov, A. A. (2016). (2016). Thyroid Thyroid gland- gland- congenital congenital thyroid thyroid cancer: cancer: The The American American Thyroid Thyroid Paleri, Paleri, V. V. (2012). (2012). Salivary Salivary gland gland swellings. swellings. BMJ BMJ,, ?term ?term¼¼Lipoma Lipomaþþexcision excisionþþsalam salam anomalies- anomalies- thyroglossal thyroglossal duct duct (TGD (TGD cyst). cyst). Association Association Guidelines Guidelines Task Task Force Force on on Thyroid Thyroid 345 345,, e6794. e6794. doi: doi: 10.1136/bmj.e6794 10.1136/bmj.e6794 Retrieved Retrieved from from www.pathologyoutlines.com/ www.pathologyoutlines.com/ Nodules Nodules and and Differentiated Differentiated Thyroid Thyroid Cancer. Cancer. Sanderson, Sanderson, R. R. J., J., & & Ironside, Ironside, J. J. A. A. (2002). (2002). NICE. NICE. (2015). (2015). Suspected Suspected cancer: cancer: Recognition Recognition and and topic/thyroidthyroglossal.html topic/thyroidthyroglossal.html Thyroid Thyroid,, 26 26(1), (1), 1–133. 1–133. doi: doi: 10.1089/thy.2016.0628 10.1089/thy.2016.0628 Squamous Squamous cell cell carcinomas carcinomas of of the the head head and and neck. neck. referral. referral. Retrieved Retrieved from from www.nice.org.uk/guid- www.nice.org.uk/guid- Coughlin, Coughlin, A. A. (2009). (2009). Pediatric Pediatric cervical cervical lymphaden- lymphaden- BMJ, BMJ, 325 325(7368), (7368), 822–827. 822–827. Retrieved Retrieved from from Hong, Hong, C-H. C-H. (2015). (2015). Branchial Branchial cleft cleft cyst. cyst. Retrieved Retrieved ance/ng12/resources/suspected-cancer-recogni- ance/ng12/resources/suspected-cancer-recogni- opathy. opathy. Grand Grand rounds rounds presentation, presentation, The The www.ncbi.nlm.nih.gov/pubmed/12376446 www.ncbi.nlm.nih.gov/pubmed/12376446 from from http://emedicine.medscape.com/article/ http://emedicine.medscape.com/article/ tion-and-referral-pdf-1837268071621 tion-and-referral-pdf-1837268071621 University University of of Texas Texas Medical Medical Branch, Branch, Department Department 1110351-overview 1110351-overview SIGN. SIGN. (2006). (2006). Diagnosis Diagnosis and and management management of of head head NICE. NICE. (2016). (2016). Neck Neck lump. lump. Retrieved Retrieved from from of of Otolaryngology. Otolaryngology. Retrieved Retrieved from from www.utm- www.utm- and and neck neck cancers. cancers. Retrieved Retrieved from from www.sign.a- www.sign.a- b.edu/otoref/grnds/pedi-lymphnode-090924/ b.edu/otoref/grnds/pedi-lymphnode-090924/ Hoornweg, Hoornweg, M. M. J., J., Smeulders, Smeulders, M. M. J., J., Ubbink, Ubbink, D. D. T., T., https:cks.nice.org.uk/neck-lump#!diagnosissub https:cks.nice.org.uk/neck-lump#!diagnosissub c.uk/pdf/sign90.pdf c.uk/pdf/sign90.pdf pedi-lymphnode-0909 pedi-lymphnode-090924.pdf 24.pdf & & van van der der Horst, Horst, C. C. M. M. (2012). (2012). The The prevalence prevalence and and NICE. NICE. (2017). (2017). Suspected Suspected cancer: cancer: Recognition Recognition and and risk risk factors factors of of infantile infantile haemangiomas: haemangiomas: A A case-con- case-con- Som, Som, P. P. M. M. (1992). (1992). Detection Detection of of metastasis metastasis in in cer- cer- Davies, Davies, L., L., & & Welch, Welch, H. H. G. G. (2006). (2006). Increasing Increasing inci- inci- referral. referral. Retrieved Retrieved from from www.nice.org.uk/guid- www.nice.org.uk/guid- trol trol study study in in the the Dutch Dutch population. population. Paediatric Paediatric and and vical vical lymph lymph nodes: nodes: CT CT and and MR MR criteria criteria and and differ- differ- dence dence of of thyroid thyroid cancer cancer in in the the United United States, States, 1973- 1973- ance/ng12/resources/suspected-cancer-recogni- ance/ng12/resources/suspected-cancer-recogni- Perinatal Perinatal Epidemiology Epidemiology,, 26 26(2), (2), 156–162. 156–162. doi: doi: ential ential diagnosis. diagnosis. American American Journal Journal of of 2002. 2002. Journal Journal of of the the American American Medical Medical tion-and-referral-pdf-1837268071621 tion-and-referral-pdf-1837268071621 10.1111/j.1365-3016.2011.01214.x 10.1111/j.1365-3016.2011.01214.x Roentgenology Roentgenology,, 158 158(5), (5), 961–969. 961–969. doi: doi: 10.2214/ 10.2214/ Association Association,, 295 295(18), (18), 2164–2167. 2164–2167. doi: doi: 10.1001/ 10.1001/ O’Brien, O’Brien, C. C. J., J., Smith, Smith, J. J. W., W., Soong, Soong, S. S. J., J., Urist, Urist, M. M. ajr.158.5.1566697 ajr.158.5.1566697 jama.295.18.2164 jama.295.18.2164 Hoperia, Hoperia, V., V., Larin, Larin, A., A., Jensen, Jensen, K., K., Bauer, Bauer, A., A., & & M., M., & & Maddox, Maddox, W. W. A. A. (1986). (1986). Neck Neck dissection dissection with with Vasko, Vasko, V. V. (2010). (2010). Thyroid Thyroid fine fine needle needle aspiration aspiration Speight, Speight, P. P. M., M., & & Barrett, Barrett, A. A. W. W. (2002). (2002). Salivary Salivary Drake, Drake, R. R. L., L., Vogl, Vogl, A. A. W., W., & & Mitchell, Mitchell, A. A. W. W. M. M. and and without without radiotherapy: radiotherapy: Prognostic Prognostic factors, factors, pat- pat- biopsies biopsies in in children: children: Study Study of of cytological-histologi- cytological-histologi- gland gland tumours. tumours. Oral Oral Diseases Diseases,, 8 8(5), (5), 229–240. 229–240. (2004). (2004). Gray’s Gray’s anatomy anatomy for for students, students, second second edi- edi- terns terns of of recurrence, recurrence, and and survival. survival. The The American American cal cal correlation correlation and and immunostaining immunostaining with with thyroid thyroid Retrieved Retrieved from from www.ncbi.nlm.nih.gov/pubmed/ www.ncbi.nlm.nih.gov/pubmed/ tion tion.. New New York: York: Elsevier Elsevier Churchill Churchill Livingstone Livingstone Journal Journal of of Surgery Surgery,, 152 152(4), (4), 456–463. 456–463. doi: doi: peroxidase peroxidase monoclonal monoclonal antibodies. antibodies. International International 12363107 12363107 10.1016/0002-9610(86)90324-7 10.1016/0002-9610(86)90324-7 Fazio, Fazio, S. S. B., B., & & Emerick, Emerick, K. K. (2013). (2013). Salivary Salivary gland gland Journal Journal of of Pediatric Pediatric Endocrinology, Endocrinology, 690108. 690108. doi: doi: Stanley, Stanley, M. M. W. W. (2002). (2002). Selected Selected problems problems in in fine fine stones. stones. Retrieved Retrieved from from http://sinalib.ir/uptodate/ http://sinalib.ir/uptodate/ RCGP. RCGP. Clinical Clinical module module 3.15: 3.15: Care Care of of people people with with 10.1155/2010/690108 10.1155/2010/690108 needle needle aspiration aspiration of of head head and and neck neck masses. masses. contents/mobipreview.htm?22/2/22568?source contents/mobipreview.htm?22/2/22568?source¼¼ ENT, ENT, oral oral and and facial facial problems. problems. Retrieved Retrieved from from Li, Li, X., X., Di, Di, B., B., Shang, Shang, Y., Y., Zhou, Zhou, Y., Y., Cheng, Cheng, J., J., & & He, He, Modern Modern Pathology Pathology,, 15 15(3), (3), 342–350. 342–350. doi: doi: 10.1038/ 10.1038/ see_link#H5772522 see_link#H5772522 www.rcgp.org.uk/training-exams/gp-curriculum- www.rcgp.org.uk/training-exams/gp-curriculum- Z. Z. (2009). (2009). Clinicopathologic Clinicopathologic risk risk factors factors for for distant distant modpathol.3880528 modpathol.3880528 overview/online-curriculum/applying-clinical- overview/online-curriculum/applying-clinical- Gad, Gad, A., A., Sayed, Sayed, A., A., Elwan, Elwan, H., H., Fouad, Fouad, F. F. M., M., Kamal Kamal metastases metastases from from head head and and neck neck squamous squamous cell cell car- car- knowledge-section-2/3-15-ent-oral-and-facial- knowledge-section-2/3-15-ent-oral-and-facial- Thandar, Thandar, M., M., & & Jonas, Jonas, N. N. (2004). (2004). An An approach approach to to Eldin, Eldin, H., H., Khairy, Khairy, H., H., & & Hefnawy, Hefnawy, E. E. (2014). (2014). cinomas. cinomas. European European Journal Journal of of Surgical Surgical Oncology Oncology,, the the neck neck mass. mass. Continuing Continuing Medical Medical Education Education,, Carotid Carotid body body tumors: tumors: A A review review of of 25 25 years years experi- experi- problems.aspx problems.aspx 35 35(12), (12), 1348–1353. 1348–1353. doi: doi: 10.1016/j.ejso.2009.06.010 10.1016/j.ejso.2009.06.010 ence ence in in diagnosis diagnosis and and management management of of 56 56 tumors. tumors. 22 22(5), (5), 266–272 266–272 DOI: DOI: 10.1177/1755738018766826 10.1177/1755738018766826 AKT AKT question question relating relating to to oral oral ulcer ulcer A. A. Advise Advise to to see see the the dentist dentist Single Single Best Best Answer Answer B. B. Monitor Monitor and and review review again again in in 22 weeks weeks A A 47-year-old 47-year-old lady lady comes comes to to see see you you with with an an ulcer ulcer on on her her upper upper left left gum gum for for the the past past month. month. She She smokes smokes 10 10 cigarettes cigarettes per per day. day. The The ulcer ulcer C. C. Refer Refer routinely routinely to to the the ear, ear, nose nose and and throat throat (ENT) (ENT) surgeons surgeons is is intermittently intermittently painful. painful. D. D. Refer Refer urgently urgently to to the the ear, ear, nose nose and and throat throat (ENT) (ENT) surgeons surgeons On On examination, examination, she she has has aa 11 cm cm area area of of white white ulceration ulceration on on her her E. E. Trial Trial miconazole miconazole oral oral gel gel upper upper left left gum, gum, which which is is non-tender non-tender to to palpation. palpation. What What is is the the SINGLE SINGLE MOST MOST appropriate appropriate management management option? option? Select Select ONE ONE option option only only Answer Answer DOI: DOI: 10.1177/1755738018767519 10.1177/1755738018767519 Dr Dr Anish Anish Kotecha Kotecha GP GP Partner, Partner, Cwmbran Cwmbran Village Village Surgery, Surgery, Wales Wales

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InnovAiT: Education and inspiration for general practiceSAGE

Published: Jun 1, 2018

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