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Clinical Competency Case #333-1-27

Blake Eyres Team 1. Clinical Competency Case #333-1-27. Patient History. 63 year old, male, caucasian History of hypercholesterolemia Stopped smoking 35 years ago, smoke for 3 years. Meds- acyclovir, ibuprofen, simvastatin Presented in general clinic for periodic diagnosis.

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Clinical Competency Case #333-1-27

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  1. Blake Eyres Team 1 Clinical Competency Case #333-1-27

  2. Patient History • 63 year old, male, caucasian • History of hypercholesterolemia • Stopped smoking 35 years ago, smoke for 3 years. • Meds- acyclovir, ibuprofen, simvastatin • Presented in general clinic for periodic diagnosis.

  3. Lesion Description • Pt presents with a small piece of amalgam between teeth #27 and #29 on the buccal surface. The colorization of the amalgam tatoo is a blue/gray. Amalgam tattoo is in the attached gingiva at the border of the free gingivainterproximally betwee#27 and #29 (28 is missing), lesion is flat and approximately 2 mm in diameter. When an x-ray was taken there is a little radiolucent spec interpoximal between #27 and #29 about 1.0-1.5mm below the aveolar crest. 

  4. Dialogue • How long have these lesions been present? (many years) • Have lesions changed in shape/size? (no) • Have you ever had any major trauma to that area? (no) • Have you ever had melanoma? (no) • Have you ever experienced pain or discomfort in that area? (no) • Are these lesions currently present anywhere else? Have they ever been? (no)

  5. Diagnosis • Differential Diagnosis • Amalgam Tattoo • Racial Pigmentation • Hematoma • Melanoma • Provisional Diagnosis • Amalgam Tattoo No Treatment is necessary for Amalgam Tattoo.

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