PATIENT: ASSRHAM, RANDIWAH ACCOUNT/EHR #: ASSRRA001 DATE: 10/17/18…
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Get it written →PATIENT: ASSRHAM, RANDIWAH
ACCOUNT/EHR #: ASSRRA001
DATE: 10/17/18
Patient is a 41-year-old female.
CHIEF COMPLAINT: Patient requests a routine examination.
MEDICAL HISTORY: No abnormalities identified.
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DENTAL HISTORY: No abnormalities identified. The patient does not wear dentures.
CLINICAL FINDINGS: Multiple blue-to-black areas with irregular borders are located on the right maxillary tuberosity, hard palate, and soft palate. The pigmented lesions are nontender and smooth to palpation. They do not blanch and do not rub off. Some of the lesions are flat and nonthickened, while other areas are thickened and firm to palpation. All the pigmented areas are fixed to the surface mucosa, but only the thickened areas are fixed to the underlying structures. No radiographic abnormalities are identified. The patient was unaware of the lesions. There are no palpable lymph nodes or other palpable masses. No skin lesions are identified.
TREATMENT: Complete series x-rays, including bitewings; periodic oral examination
DX: Dyschromia
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