Fw: new qs MJDF2/ORE2-answer

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Hi guysThe answer is

A. Osteonecrosis of the left mandible.

B. Long-term use of bisphosphonates to treat hypercalcaemia secondary to

metastastic disease.

C. Polite introduction. Take a history. Ask about trauma. Take detailed

personal past medical history (PMH) regarding breast cancer diagnosis and

subsequent management and length of bisphosphonate use. Diagnosis history:

examination further investigations – CT scan, inflammatory markers treatment iv antibiotics

liaise

with oncology team concerning bisphosphonate cessation.LeeFrom: Dr Avery <avery_dr@...>Subject: new qs MJDF2/ORE2 Date: Wednesday, 22 June, 2011, 15:21A 64-year-old patient with a past medical

history of metastatic breast cancer presents to your surgery complaining of

loose teeth, dental pain and swollen gums.

A. What appearance is shown in the above X-ray?

B. What is the most likely causative agent?

C. How would you manage this patient?Lee