In the case of a swollen lesion on the tongue, what is the next recommended step?

When faced with a swollen lesion on the tongue, palpating to assess whether the lesion is firm or indurated is a critical next step. This physical examination can provide valuable insights into the nature of the lesion. The consistency of the lesion can help differentiate between various types of issues, such as benign conditions, inflammatory processes, or more serious concerns like malignancy.

Firm or indurated lesions may suggest a more serious underlying condition, while softer, more fluctuating lesions could indicate a more benign process, such as an infection or a cyst. This differentiation is crucial in forming an appropriate diagnostic and management plan.

Performing a biopsy immediately is generally not the first step unless the lesion presents with features that strongly suggest malignancy, as most clinical assessments begin with a thorough examination. Prescribing anti-inflammatory medication or scheduling a follow-up may also be appropriate based on the lesion's characteristics, but it's essential to gather more diagnostic information first through palpation. Consequently, the most logical and effective action is to start with palpation to assess the nature of the lesion.