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A Woman With a Big Bump in the Mouth

A Woman With a Big Bump in the Mouth

This article was originally presented as an independent educational activity under the direction of CME LLC. The ability to receive CME credits has expired. The article is now presented here for your reference. CME LLC is no longer responsible for the presentation of the article.

HISTORY

Figure
A 67-year-old Hispanic woman is seen for routine physical examination. Has mild hypertension but no other known medical problems. Feels well. No weight loss. No reported difficulty with eating, speaking, or swallowing. Denies any discomfiture in the mouth. States that nothing has changed in her mouth “ever since I lost my baby teeth.” Does not smoke cigarettes nor drink alcohol.

PHYSICAL EXAMINATION

Woman who appears stated age. Vital signs and general examination, normal. Facial skin shows some telangiectases and lips have some wrinkling, suggesting solar damage. Nares unremarkable. Dorsum of tongue, normal. Anterior palate as shown.

WHAT'S YOUR DIAGNOSIS?

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