9th July 2023

A 62-year-old female with a background of ovarian cancer, COPD and heavy smoking history

A 62-year-old female with a background of ovarian cancer, COPD and heavy smoking history is being treated on your ward for community acquired pneumonia. She reports painful swallowing for the last 3 days. On examination, you notice localised white patches on the buccal mucosa and tongue. This easily scrapes off with a tongue depressor revealing mild inflamed mucosa. What would be the most appropriate first line management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.