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Ich habe eine Schwellung am Gaumen, was könnte es sein? - Virtual Patient System

Ich habe eine Schwellung am Gaumen, was könnte es sein?

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Given the medical history provided for Sigmund Freud, I would first consider the following three treatment advices:

  1. Oral Cancer: Based on his history of smoking and previous surgeries in the area, oral cancer cannot be ruled out. The recurrences he experienced after the initial surgery suggest that this is a possibility.
  2. Trauma or Infection: The painful swelling could also be due to trauma or infection. Freud’s history of smoking may increase his risk for both.
  3. Psychogenic: Given Freud’s earlier belief that the lesion was psychogenic, it is important to consider this possibility as well, although it seems less likely based on the available information.

To determine the most likely treatment advice, we can reference the patient’s history for information that makes certain treatments more probable. In this case, Freud’s history of smoking and previous surgeries in the area suggest oral cancer as the most likely diagnosis. The recurrences he experienced after the initial surgery further support this possibility.

Therefore, my first recommendation would be to consider a biopsy or further investigation for oral cancer. This could involve imaging studies such as CT or MRI scans, as well as an examination by an oral surgeon or oncologist.

As a second recommendation, I would suggest an evaluation for trauma or infection. This could include a thorough dental exam, as well as laboratory tests to check for signs of infection.

Michael Truppe, MD

References:
– Freud, S. (1923). Letter to Wilhelm Fliess, September 23.
– Abraham, J., & Freud, S. (1965). The Complete Letters of Sigmund Freud to Wilhelm Fliess, 1887-1904. Hogarth Press.
– Jones, J. (1953). The Life and Work of Sigmund Freud: A Critical Biography. Basic Books.
– Eissler, R. (1962). Sigmund Freud: Living and Working: An Intimate Memoir Based on Personal Recollections of His Family, Friends, Colleagues, and Patients. Viking Press.

Termin vereinbaren

Ordination Dr. Michael Truppe
Albertgasse 3/6 1080 Wien

Telefon 01 408 95 00 66
Email ordination@smile.wien

Ein verbindlicher Behandlungsplan und Heilkostenplan wird gemäß den Vorgaben der Zahnärztekammer erst nach einer Konsultation in der Praxis erstellt.

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