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A 54 years old gentleman attended your practice for a regular check up, he works

as a builder, on extra-oral examination you have noticed a brown ulcer on his

nose, he says it was present for 2 years, it never was his concern since it was

painless, social history reveals he's a heave smoker and was smoking 2 packs a

day for 30 years, write a referral paper to an SHO maxillofacial surgeon in

details ..

MFDS part 1 Edinburgh April 2012

Thank you

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