Zahnmedizin Insights

My main question: given the non-healing ulcer, weight loss, and neck lump, how likely is oral cancer versus another cause? Do I need an urgent biopsy and imaging, and if so, what is the safest sequence we can arrange remotely to move quickly and decisively?

This is a testimonilal placeholder text #start text# Formbricks data entry: https://forms.medlibre.ai/s/cm8ncc7pv000fb3012cpgbht9 TEASER PROMPT: https://cloud.medlibre.ai/s/Z3ygJeSAJiJtfMK MAIN PROMPT: https://cloud.medlibre.ai/s/mSg2DZpiPBTcFCg CONSENSUS PROMPT: https://cloud.medlibre.ai/s/8PdEe9MTEbyLYNW Excel Sheet with 100 questions: https://consultation.medlibre.ai/own PROJECT INFO: https://medlibre.craft.me/tVk8OQB3c2tdHw ©2025 Michael Truppe, MD #end text# CONSENSUS DIAGNOSIS: OSCC CONSENSUS CIMDL PROBABILITY (0–1, two decimals): 0.09 MERGED ITEMS (Q1–Q10): Q1: Negative Q2: Negative Q3: Negative […]

My main question: given the non-healing ulcer, weight loss, and neck lump, how likely is oral cancer versus another cause? Do I need an urgent biopsy and imaging, and if so, what is the safest sequence we can arrange remotely to move quickly and decisively? Read More »

My main question: given the non-healing ulcer, weight loss, and neck lump, how likely is oral cancer versus another cause? Do I need an urgent biopsy and imaging, and if so, what is the safest sequence we can arrange remotely to move quickly and decisively?

This is a testimonilal placeholder text #start text# Formbricks data entry: https://forms.medlibre.ai/s/cm8ncc7pv000fb3012cpgbht9 TEASER PROMPT: https://cloud.medlibre.ai/s/Z3ygJeSAJiJtfMK MAIN PROMPT: https://cloud.medlibre.ai/s/mSg2DZpiPBTcFCg CONSENSUS PROMPT: https://cloud.medlibre.ai/s/8PdEe9MTEbyLYNW Excel Sheet with 100 questions: https://consultation.medlibre.ai/own PROJECT INFO: https://medlibre.craft.me/tVk8OQB3c2tdHw ©2025 Michael Truppe, MD #end text# CONSENSUS DIAGNOSIS: OSCC CONSENSUS CIMDL PROBABILITY (0–1, two decimals): 0.07 MERGED ITEMS (Q1–Q10): Q1: Negative Q2: Negative Q3: Negative

My main question: given the non-healing ulcer, weight loss, and neck lump, how likely is oral cancer versus another cause? Do I need an urgent biopsy and imaging, and if so, what is the safest sequence we can arrange remotely to move quickly and decisively? Read More »

Mymainquestion:couldapastperiodofsnortingstimulantsexplainthenosebleeds,crusting,andpossibleholeinmypalate,ratherthancancer?Whattests—scans,endoscopy,orasmallbiopsy—helpconfirmthisatadistance,andwouldcompleteabstinenceallowhealingorissurgerynecessarylater?

This is a testimonilal placeholder text #start text# Formbricks data entry: https://forms.medlibre.ai/s/cm8ncc7pv000fb3012cpgbht9 TEASER PROMPT: https://cloud.medlibre.ai/s/Z3ygJeSAJiJtfMK MAIN PROMPT: https://cloud.medlibre.ai/s/mSg2DZpiPBTcFCg CONSENSUS PROMPT: https://cloud.medlibre.ai/s/8PdEe9MTEbyLYNW Excel Sheet with 100 questions: https://consultation.medlibre.ai/own PROJECT INFO: https://medlibre.craft.me/tVk8OQB3c2tdHw ©2025 Michael Truppe, MD #end text# CONSENSUS DIAGNOSIS: CIMDL CONSENSUS CIMDL PROBABILITY (0–1, two decimals): 0.81 MERGED ITEMS (Q1–Q10): Q1: Positive Q2: Negative Q3: Positive

Mymainquestion:couldapastperiodofsnortingstimulantsexplainthenosebleeds,crusting,andpossibleholeinmypalate,ratherthancancer?Whattests—scans,endoscopy,orasmallbiopsy—helpconfirmthisatadistance,andwouldcompleteabstinenceallowhealingorissurgerynecessarylater? Read More »

Mymainquestion:couldapastperiodofsnortingstimulantsexplainthenosebleeds,crusting,andpossibleholeinmypalate,ratherthancancer?Whattests—scans,endoscopy,orasmallbiopsy—helpconfirmthisatadistance,andwouldcompleteabstinenceallowhealingorissurgerynecessarylater?

This is a testimonilal placeholder text Short answer: Yes. Prior intranasal stimulant use—especially cocaine—can cause chronic nosebleeds, crusting, septal perforation, and even palatal perforation without cancer. The tissue damage can persist long after you stop. However, similar findings can also be caused by autoimmune vasculitis (e.g., granulomatosis with polyangiitis), infections (e.g., syphilis, fungal), or malignancy

Mymainquestion:couldapastperiodofsnortingstimulantsexplainthenosebleeds,crusting,andpossibleholeinmypalate,ratherthancancer?Whattests—scans,endoscopy,orasmallbiopsy—helpconfirmthisatadistance,andwouldcompleteabstinenceallowhealingorissurgerynecessarylater? Read More »

Mymainquestion:couldapastperiodofsnortingstimulantsexplainthenosebleeds,crusting,andpossibleholeinmypalate,ratherthancancer?Whattests—scans,endoscopy,orasmallbiopsy—helpconfirmthisatadistance,andwouldcompleteabstinenceallowhealingorissurgerynecessarylater?

This is a testimonilal placeholder text **“Questionnaire for Sigmund Freud’s Paper CIMDL. **Formbricks data entry: https://forms.medlibre.ai/s/cm8ncc7pv000fb3012cpgbht9 TEASER PROMPT: https://cloud.medlibre.ai/s/Z3ygJeSAJiJtfMK MAIN PROMPT: https://cloud.medlibre.ai/s/mSg2DZpiPBTcFCg CONSENSUS PROMPT: https://cloud.medlibre.ai/s/8PdEe9MTEbyLYNW Excel Sheet with 100 questions: https://consultation.medlibre.ai/own PROJECT INFO: https://medlibre.craft.me/tVk8OQB3c2tdHw ©2025 Michael Truppe, MD“ CONSENSUS DIAGNOSIS: CIMDL CONSENSUS CIMDL PROBABILITY (0–1, two decimals): 0.81 MERGED ITEMS (Q1–Q10): Q1: Positive Q2: Negative

Mymainquestion:couldapastperiodofsnortingstimulantsexplainthenosebleeds,crusting,andpossibleholeinmypalate,ratherthancancer?Whattests—scans,endoscopy,orasmallbiopsy—helpconfirmthisatadistance,andwouldcompleteabstinenceallowhealingorissurgerynecessarylater? Read More »

Mymainquestion:couldapastperiodofsnortingstimulantsexplainthenosebleeds,crusting,andpossibleholeinmypalate,ratherthancancer?Whattests—scans,endoscopy,orasmallbiopsy—helpconfirmthisatadistance,andwouldcompleteabstinenceallowhealingorissurgerynecessarylater?

This is a testimonilal placeholder text **“Questionnaire for Sigmund Freud’s Paper CIMDL. **Formbricks data entry: https://forms.medlibre.ai/s/cm8ncc7pv000fb3012cpgbht9 TEASER PROMPT: https://cloud.medlibre.ai/s/Z3ygJeSAJiJtfMK MAIN PROMPT: https://cloud.medlibre.ai/s/mSg2DZpiPBTcFCg CONSENSUS PROMPT: https://cloud.medlibre.ai/s/8PdEe9MTEbyLYNW Excel Sheet with 100 questions: https://consultation.medlibre.ai/own PROJECT INFO: https://medlibre.craft.me/tVk8OQB3c2tdHw ©2025 Michael Truppe, MD“ CONSENSUS DIAGNOSIS: CIMDL CONSENSUS CIMDL PROBABILITY (0–1, two decimals): 0.87 MERGED ITEMS (Q1–Q10): Q1: Positive Q2: Negative

Mymainquestion:couldapastperiodofsnortingstimulantsexplainthenosebleeds,crusting,andpossibleholeinmypalate,ratherthancancer?Whattests—scans,endoscopy,orasmallbiopsy—helpconfirmthisatadistance,andwouldcompleteabstinenceallowhealingorissurgerynecessarylater? Read More »

Mymainquestion:giventhenon-healingulcer,weightloss,andnecklump,howlikelyisoralcancerversusanothercause?DoIneedanurgentbiopsyandimaging,andifso,whatisthesafestsequencewecanarrangeremotelytomovequicklyanddecisively?

This is a testimonilal placeholder text Questionnaire for Sigmund Freud’s Paper CIMDL. Formbricks data entry: https://forms.medlibre.ai/s/cm8ncc7pv000fb3012cpgbht9 Prompt TEASER: to be filled Prompt MAIN: to be filled Prompt CONSENSUS: to be filled Excerl Sheet with 100 questions: https://consultation.medlibre.ai/own PROJECT INFO: https://medlibre.craft.me/tVk8OQB3c2tdHw CONSENSUS DIAGNOSIS: OSCC CONSENSUS CIMDL PROBABILITY (0–1, two decimals): 0.07 MERGED ITEMS (Q1–Q10): Q1: Negative

Mymainquestion:giventhenon-healingulcer,weightloss,andnecklump,howlikelyisoralcancerversusanothercause?DoIneedanurgentbiopsyandimaging,andifso,whatisthesafestsequencewecanarrangeremotelytomovequicklyanddecisively? Read More »

Mymainquestion:couldapastperiodofsnortingstimulantsexplainthenosebleeds,crusting,andpossibleholeinmypalate,ratherthancancer?Whattests—scans,endoscopy,orasmallbiopsy—helpconfirmthisatadistance,andwouldcompleteabstinenceallowhealingorissurgerynecessarylater?

This is a testimonilal placeholder text This is a placeholder text CONSENSUS DIAGNOSIS: CIMDL CONSENSUS CIMDL PROBABILITY (0–1, two decimals): 0.84 MERGED ITEMS (Q1–Q10): Q1: Positive Q2: Positive Q3: Positive Q4: Positive Q5: Positive Q6: Positive Q7: Positive Q8: Positive Q9: Positive Q10: Positive ADJUDICATOR NOTE (≤5 lines): – Both summaries diagnose CIMDL; probability averaged

Mymainquestion:couldapastperiodofsnortingstimulantsexplainthenosebleeds,crusting,andpossibleholeinmypalate,ratherthancancer?Whattests—scans,endoscopy,orasmallbiopsy—helpconfirmthisatadistance,andwouldcompleteabstinenceallowhealingorissurgerynecessarylater? Read More »

Mymainquestion:couldapastperiodofsnortingstimulantsexplainthenosebleeds,crusting,andpossibleholeinmypalate,ratherthancancer?Whattests—scans,endoscopy,orasmallbiopsy—helpconfirmthisatadistance,andwouldcompleteabstinenceallowhealingorissurgerynecessarylater?

This is a testimonilal placeholder text This is a placeholder text TEASER Summary Evaluation 1) Purpose and main content – Purpose: Presents a clinician-style differential diagnosis and workup for midline destructive nasal disease with palatal involvement, emphasizing stimulant-induced injury and how to exclude mimics (vasculitis, malignancy, infection). – Main content: Lists likely and can’t-miss diagnoses

Mymainquestion:couldapastperiodofsnortingstimulantsexplainthenosebleeds,crusting,andpossibleholeinmypalate,ratherthancancer?Whattests—scans,endoscopy,orasmallbiopsy—helpconfirmthisatadistance,andwouldcompleteabstinenceallowhealingorissurgerynecessarylater? Read More »

keineFragen

This is a testimonilal placeholder text This is a placeholder text PATIENT-ORIENTED SUMMARY EVALUATION I. Brief description of each summary • TEASER: Starts with a clinician-style list of differential diagnoses, “can’t-miss” conditions, diagnostic / treatment steps, then ends with a short German paragraph addressed directly to the patient urging a prompt biopsy and specialist visit.

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