A 74-year-old woman comes to the clinic with a 3-month history of burning in the roof of her mouth and cracking at the corners of her lips. She has worn a complete upper denture for 10 years, sleeps with it in place, and rinses it with water only. She has asthma treated with fluticasone propionate by metered-dose inhaler BID and salbutamol as needed. She has no known drug allergies. On examination, the palatal mucosa beneath the denture is diffusely erythematous with a sharp border matching the denture-bearing area, and there are erythematous fissures at both corners of the mouth. No white plaques can be scraped off. Her BMI is 32 kg/m2, and hemoglobin 6 months ago was 134 g/L (115-155). She has not had blood glucose testing in over 5 years.
| Heart rate | 78/min |
| Respiratory rate | 16/min |
| Temperature | 36.8 °C |
| O2 saturation | 97%, room air |
| Blood pressure | 138/80 mm Hg |
Question 1 of 30
Which of the following are the most appropriate initial management measures?
Select 3. (0 / 3 selected)
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