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48 Cards in this Set

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  • Back
What is fissured tongue? What is the treatment?
• a benign condition in which tongue appears cracked
• no bleeding; no tenderness
• Tx: no treatment
Fissured tongue in common in what condition?
Down's syndrome
What is Anklyoglossia?
• aka tongue tied
• tongue cannot be fully extended to the lower lip of touch the palate (due to short frenulum)
• interferes with speech
What is the treatment for Ankloglossia?
• Frenulectomy
OR
• Lingual Lysis
What causes white hairy tongue? What is the treatment?
• caused by abnormal elongation of filiform papillae secondary to increased keratin deposits
• discolored papillae
• Tx: reassurance
White hairy tongue is more common in which gender?
males
"Black" hairy tongue is caused by parkened pilli. What is the treatment?
• vigorous brushing with abrasive toothpaste
• topical antifungals can sometimes help
What is geographic tongue?
• benign inflammatory condition characterized by change in borders
• thought to be exacerbated by stress, nutritional deficiency, heredity
• no treatment
What is varicose tongue?
• a common benign finding in elderly
• caused by pronouced vessels
• No treatment (DO NOT BIOPSY)
What is Glossodynia?
• aka burning tongue
• idiopathic burning of the tongue
• seen mostly in elderly females (associated with hormonal changes)
• often made worse by certain foods or chemicals
What is the treatment for Glossodynia?
• Vitamins (B complex, Zinc)
• Hormone replacement (to possibly treat underlying cause)
List 4 causes of glossitis
• scarlet fever
• pellagra
• riboflavin deficiency
• immunesuppresion
Patient's tongue appears red, swollen, and painful with ulcerations. What is the most likely diagnosis? What is the treatment?
• Pellagra
• Tx: Nicotinic acid
Patient's tongue is swollen, dark red/purplish. What is the mostly likely cause? What is the treatment?
• Riboflavin deficiency
• Tx. Vitamin B2
What is Torus palatini?
bony hard midline palatal swelling
What is Torus mandibularis?
bony hard lesions arising from the inner aspect of the mandible
Usually, a torus do not require treatment. When would you treat a torus?
if they interfere with dentures
What is the treatment for periodontal disease/abscess?
• I&D
and/or
• extraction of infected tooth
What is Cerivical Cellulits?
• lateral neck edema
• secondary to dental abscess in lower molars
What is Ludwig's Angina?
• Midline "woody" tenderness/neck swelling
• MCC: Staph aureus, Strep pyogenes
What is the treatment for Ludwig's Angina?
• Clindamycin
OR
• Unasyn IV
What is a Ranula?
• a benign mucocele occuring in the floor of mouth
• a benign salivary cyst caused by a blocked duct
What is the treatment for a ranula?
surgical removal (marsupilzation)
Which duct lies at the base of the tongue?
Wharton's duct (duct of the submandibular gland)
Which duct lies in the buccal mucosa of the cheek?
Stenson's duct (duct of the parotid gland)
What is the clinical presentation of Hand-Foot-Mouth-Disease?
• oral lesions coalescing to form large eroded areas
• symptoms include lymphadenopathy, malaise, fever
• can present with classic palm and sole vascular lesions
Hand-Foot-Mouth disease normally affects what age group?
normally afffects children
What is Pemphigus Vulgaris?
• a potentially fatal vesiculobullous disease
• weeping bulla considered an autoimmune disorder involving IgG reaction
• oral lesions usually preced skin involvement
Pemphigus Vulgaris is seen more frequently in which patients?
• 30-50 y/o
• Jews
• Mediterraneans
What is Nikolsky's sign?
• light lateral pressure applied to a bulla will cause it to enlarge by extension
• seen in Pemphigus Vulgaris
What is the treatment for Pemphigus Vulgaris?
steroids
What is the treatment for Primary Oral Herpes?
Zovirax (Acyclovir)
What can be used for local treatment treatment for recurrent oral herpes?
Abreva (Docosanol 10%)
What can be used for systemic treatment for recurrent oral herpes?
• Famciclovir (Famvir)
• Valacyclovir (Valtrex)
What is Lichen Planus? What are risk factors?
• a connective tissue disorder of the mouth
• risk factors
- stress
- females
- age over 40 y/o
Name and describe the 4 presentations of Lichen Planus?
• atropic: red, non-ulcerated mucosal patch
• erosive: vesicle or bulla erodes, leaving ulcers
• striated: lace-like appearance
• plaque-like: solid white patch
What is the most common appearance of Lichen Planus?
striated
What is the treatment for Lichen Planus?
• stress reduction/vacation
• can be treatment with steroids
What is the most common oral carcinoma?
squamous cell carcinoma (90%)
What is the most common site of oral carcinoma?
lateral borders of the tongue
How can you differentiate between tonsils with exudates and concretions?
if you pull out the exudate, more will be produced
What pathogens can cause tonsillitis?
• Strep pyogenes (GABHS): most common
• Strep pneumoniae
• Strep viridens
• M. catarrhalis
• Staph aureus
What are treatment options for tonsillitis?
• Amoxicillin/clavulanate (Augmentin): if mono has been ruled out
• Cefuroxime (Ceftin)
• Cefpodoxime (Vantin)
• Clindamycin (Cleocin)
• consider corticosteroids (used in severe infecrtion to reduce inflammation)
What may make tonsils appear larger than they are?
gag reflex
What are signs/symptoms of a peritonsillar abscess?
• dysphagia
• fever
• hot potato voice
• severe odynophagia
• unilateral edema
What is the treatment for a peritonsillar abscess?
incision and drainage
What are the top 4 indications for tonsillectomy?
• 3 or more infections in 12 months despite adequate treatment
• hypertrophy resulting in obstructive sleep apnea, dysphagia, or cardiopulmonary complications
• recurrent peritonsillar abscess
• persistent foul taste or breath secondary to chronic tonsillitis (cryptic tonsils)
How long is the recover period for a tonsillectomy?
7-10 days