A 79-year-old male comes to your clinic for an evaluation of his "mouth sores." He first noticed having difficulty wearing his lower denture about a month ago, and it gradually worsened. He points to the molar area of his lower left mandibular ridge. He had an immediate denture placed nine months ago, and up until a month ago, he was fine. Medical history The patient had no adverse drug events.
Following are the medications he has been taking: Zoledronic acid 4 mg qd, 3 months Lupron Depot 22.5 mg qd, 3 months Spironolactone 100 mg qd Losartan 50 mg qd Aspirin 81 mg qd Centrum Silver qd Pertinent medical history Metastatic prostate cancer x 3 years with metastases to the pelvis, right hip, and lower back (managed with irradiation/chemotherapy); HTN x 20 years. Pertinent family history Father had prostate cancer and died at the age of 66. Mother had a fatal stroke and died at…
