UNIVERSITY OF SANTO TOMAS

FACULTY OF MEDICINE AND SURGERY

Department of Otorhinolaryngology Head and Neck Surgery

Students Guide: Tongue lesion
Case: A 50 year old male came to the outpatient department because of whitish patch on the tip of the
tongue

History of present illness: 6 months prior to consult, whitish patches were noted on the tip of the
tongue which does not rub away. He has been a chronic smoker consuming 5 to 10 sticks per day.

Physical Examination:
Oral cavity: Whitish patches, tip of the tongue




1. How can you relate the anatomy in relation to the tongue/gingiva/dental/buccal mucosa lesion?
2. Discuss the pathophysiology related to the development of the tongue/gingiva/dental/buccal
mucosa lesion?
3. Describe the normal flora of the oral cavity.
4. How will the lesion affect the physiologic function of the oral cavity?
5. What other information do you want to ask from the history?
6. How will you perform a detailed physical examination of the oral cavity?
7. What ancillary procedures will you request?
8. What is your clinical impression on the tongue/gingiva/dental/buccal mucosa lesion?
9. What other conditions do you consider?
10. How will you manage the tongue/gingiva/dental/buccal mucosa lesion?
11. To whom will you refer the patient?
12. What advise will you give the patient?