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Evaluation

Are you evaluating a patient with oral mucositis following radiation or chemo-therapy?

Mucosal area showing ulceration and/or pseduomembrane in each site (enter 0 if none)

• upper lip

• lower lip

• right cheek

• left cheek

• right ventral and lateral tongue

• left ventral and lateral tongue

• floor of mouth

• soft palate and fauces

• hard palate

Select the appropriate answer to indicate the degree of erythema at each site

Upper lip erythema

Lower lip erythema

Right cheek erythema

Left cheek erythema

Right ventral and lateral tongue erythema

Left ventral and lateral tongue erythema

Floor of mouth erythema

Soft palate and fauces erythema

Hard palate erythema

Results

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