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Abnormal Oral

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sandyle909's version from 2016-09-06 03:27

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Question Answer
Torus Palatinus benign bony prominance on hard palate
usually midline
no treatment
Angular Cheilitis * irritation, fissuring of the skin at the corners of the mouth
cause: ill fitting dentures, vitamin deficiency, excessive salavation
Carcinoma of the Lip * thorough exam of the lips, tongue, and oral mucosa is important
sores that don't heal (ask why?)
newly formed lesions
consider RISK FACTORS
Marginal Gingivitiscauses changes in the gums: redness, bleeding, edema, tenderness
can lead to endocarditis (d/t increase infection)
Gingival Hyperplasiacause: medication, dilantin (phenytoin), cyclosporin, possible with Ca Channel Blockers
poor dental hygiene
pregnancy
Thrush *white patches or plaques on the tongue or buccal mucosa
uncommon in healthy adults
*can brush the thrush for Dx
Exudative Tonsilitis (Group A Strep) - can't brush this off exam reveals bilateral exudative tonsilitis
strep screen (+), group A strep
Mononucleosis (EBV) * - strep screen (-)ST x 5 days, worsening, fever 101, fatigue
tender, enlarged ANTERIOR AND POSTERIOR CERVICAL LAD
bilateral EXUDATIVE TONSILITIS with enlargement of tonsils
strep screen (-)
increase in atypical lymphocytes on CBC with Difff, Mono screen (+)
Peritonsillar Abscess *Potato voiceUNILATERAL PERITONSILLAR SWELLING & SHIFTED UVULA
infection spread to peritonsillar space
group A strep, flu, staph aureus/ resp. anaerobes
*Hot potato voice
Hairy Tonguebenign condition
*defect in desquamation of papillae
causes: abs, tea/coffee, tobacco use
tx: brush tongue
Fissured Tongue *multiple small grooves on dorsal tongue
*benign
increases incidence with age
Geographical Tongue*dorsum of tongue reveals smooth areas void of papillae
*benign
"map-like"
Leukoplakia **potentially PRE-MALIGNANT
differentiate with thrush (brush the thrush)
*must refer!
Oral Carcinomathorough physical exam is essential
majority of oral CA is SCC
memorize