Page 1 of 1: For family physician only_ Obstetric medicine ....

doctorkarim · Credits: 80808 My Scrapbook

At 24 weeks' gestation, a 22-year-old woman complains of an enlarging, painless vascular lesion on the gingiva that looks similar to a pyogenic granuloma. Which one of the following is the most appropriate for management of this condition?
A. Surgical removal under local anesthesia.
B. Amoxicillin, 500 mg three times daily for 14 days, unless the patient is allergic.
C. Local cryotherapy.
D. Observation.

samakht · Credits: 566 My Scrapbook

cryotherapy

katerin · Credits: 173 My Scrapbook

Hi!
This lesion is also called "pregnancy tumor" and occurs in up to 5% of pregnancies
"Many lesions occurring in pregnancy resolve with parturition; because recurrences are higher during pregnancy, many experts recommend postponing removal until after delivery."
So I'd go with D

mikejonathan20055 · Credits: 3320 My Scrapbook

At 24 weeks' gestation, a 22-year-old woman complains of an enlarging, painless vascular lesion on the gingiva that looks similar to a pyogenic granuloma. Which one of the following is the most appropriate for management of this condition?

A. Surgical removal under local anesthesia.
B. Amoxicillin, 500 mg three times daily for 14 days, unless the patient is allergic.
C. Local cryotherapy.
D. Observation...........................

mikejonathan20055 · Credits: 3320 My Scrapbook

Pregnancy tumor is a harmless (benign) growth in the mouth that occurs in a small percentage of pregnant women. It usually develops during the second trimester. It is a red/purple nodule usually found near the upper gumline, although it can also be found elsewhere in the mouth, including the lips and tongue. It is usually attached to the gum or mucosa by a narrow stalk of tissue. The nodule glistens, bleeds easily and may ulcerate or crust over.
Pregnancy tumors are misnamed. They are not tumors and are not cancerous. These growths are not dangerous, although they may bleed easily or cause discomfort. Causes include local irritation and trauma. Hormonal changes also are thought to play a role. Changing levels of estrogen and progesterone occur throughout pregnancy. Some pregnancy tumors heal after pregnancy as hormone levels become normal. Irritation from tartar (calculus) may also contribute to pregnancy tumor.

Women with pregnancy tumor often have pregnancy-associated gingivitis, and both conditions can be treated at the same time.

The condition is known by other names, including pregnancy granuloma, pyogenic granuloma, lobular capillary hemangioma and granuloma gravidarum.

doctorkarim · Credits: 80808 My Scrapbook

D. Observation.

answer was taken from it's orginal sourse who post the question

		Sign In New User? Sign Up Sign in to access your control panel and messenger!
				TechZone \| SpiderNevi \| HowTo? \| Scrapbook!