Intra/extra Oral Exams

Front 1

Linea Alba

Back 1

ANOMALY

Found on buccal mucosa,white line begins at corner of mouth and extends posteriorly at level of the occlusal plane

Front 2

Lower Deep Cervical Lymph Nodes

Back 2

Found on lateral surface of internal jugular vein, about 2in above clavicle

Front 3

Lymph Nodes

Back 3

Hundreds with boundaries of head and neck

Major function of lymphatic system is to monitor body's immune system. During infection they become engorged w/immune components. Can become enlarged during viral or bacterial infections and due to chronic conditions and malignancies

Front 4

Lymphadenopathy

Back 4

Swollen Lymph Nodes

Front 5

Macule

Back 5

Circumscribed flat lesion, identified by color

Front 6

Maxillary Tuberosity

Back 6

Tissue covered bony elevation just distal to last tooth of maxillary arch

Front 7

Muccobuccal Fold

Back 7

Deepest part of the vestibule

Front 8

Nodule

Back 8

Elevated, Non-blisterform lesion

Larger than a papule

Front 9

Palpation

Back 9

Digital- single finger
Bidigital- finger and thumb
Bimanual- finger and thumb from each hand
Bilateral- two hands

Front 10

Papule

Back 10

Elevated, Non-blisterform lesion

Pinhead to 5mm

May be pointed, rounded or flat-topped

Front 11

Papilla

Papillary

Back 11

Small nipple-shaped projection or elevation

Front 12

Parotid Gland

Back 12

Located on side of face below and in front of ear

Drained via Stensen's Duct

Front 13

Patch

Back 13

Circumscribed flat lesion larger than a macule; differentiated from surrounding epidermis by color and/or texture

Front 14

Pedunculated

Back 14

Attached by a narrow stalk

Front 15

Petechia

Back 15

Minute hemorrhagic spots (pinhead size)

Front 16

Plaque

Back 16

Elevated, Non-blisterform lesion
Slightly raised w/broad flat top
Larger than 5mm
Pasted on appearance
On outside of face

Front 17

Polyp

Back 17

Any mass of tissue that projects outward or upward from the normal surface level

Front 18

Post-Auricular Lymph Node

Back 18

Located posterior to ear

Front 19

Pre-Auricular Lymph Node

Back 19

Located anterior to ear

Front 20

Pseudomembrane

Back 20

Loose membrane layer of exudate containing organisms, fibrin, necrotic cells and inflammatory cells.

CAN be wiped off

Front 21

Punctate

Back 21

Marked w/points or dots

Differentiated from surrounding surface by color, elevation or texture

Front 22

Purulent

Back 22

Containing, forming or discharging pus

Front 23

Pustule

Back 23

Elevated, blisterform lesion

More or less than 5mm

Contains pus, giving it a yellowish color

Front 24

Retromolar Pad

Back 24

Dense pad of tissue just distal to last tooth in mandibular arch

Front 25

Scar

Back 25

Cicatrix mark remaining after a wound heals

Front 26

Sclerosis

Back 26

Induration or hardening

Front 27

Sessile

Back 27

Base is as wide as the lesion

Front 28

Stensen's Duct

Back 28

Drains parotid salivary gland

Located opposite maxillary molars on buccal mucosa

Front 29

Sublingual Caruncle

Back 29

Small papilla on each side of the lingual frenum. Contains openings of wharton's duct and bartholins duct

Front 30

Sublingual Salivary Gland

Back 30

Located beneathe the sublingual mucosa in floor of mouth, opposite mandibular canines

Front 31

Submandibular Lymph Nodes and Salivary Gland

Back 31

Submandibular Lymph Nodes are grouped around the submandibular gland, near the angle of the mandible

Wharton's Duct is the major duct of submandibular salivary gland, opens into mouth at the sublingual caruncle

Front 32

Supraclavicular Lymph Nodes

Back 32

Located in hollow above clavicle (supraclavicular fossa)
Drain part of thoracic cavity and abdomen

Virchow's Node is on left side and receives drainage from most of body via the thoracic duct. Early site for metastasis for various malignancies

Front 33

Submental Lymph Nodes

Back 33

Small accumulation of nodes beneath the chin

Front 34

Temporomandibular Joint (TMJ)

Back 34

Articulation between temporal bone and mandible

Front 35

Thyroid Gland

Back 35

Endocrine gland located on lower part of neck, butterfly shaped w/two lobes joined together by isthmus tissue, lies along trachea. Converts iodine into thyroid hormones (thyroxineT4 and triiodothyronineT3). Only cells in body that can absorb iodine. EVERY cell in body depends on thyroid for their metabolism regulation

Front 36

Torus

Back 36

Bony elevation found on midline of hard palate and lingual of the mandible in premolar area

Front 37

Trismus

Back 37

Inability to open mouth due to muscle spasm or fibrosis of muscles of mastication and/or TMJ, motor disturbance of trigeminal nerve

Front 38

Tumor

Back 38

Elevated, Non-blisterform lesion

2cm/20mm or bigger

General swelling or enlargement

Front 39

Upper Deep Cervical Lymph Nodes

Back 39

Found on lateral surface of internal jugular vein about 2in below the ear

Front 40

Uvula

Back 40

Midline muscular structure that hangs from posterior margin of center of the soft palate

Front 41

Ventral

Back 41

underneath (inferior) part of tongue

Front 42

Vermillion Border of Lip

Back 42

Outline of lips, darker than surrounding skin

Front 43

Vesicle

Back 43

Elevated, blisterform lesion
1cm or less
Circumscribed lesion w/thin surface covering
May contain serum or mucin and appear white

Front 44

Wharton's Duct

Back 44

Major duct of submandibular salivary gland, opens into mouth at the sublingual caruncle

Front 45

Depressed Lesion

Back 45

Below level of skin or mucosa
Regular or irregular outline
Flat or raised border
Superficial or deep (greater than 3mm-ulcer or erosion

Front 46

Flat Lesion

Back 46

Same level as normal skin or mucosa
Single or multiple lesions
Regular or irregular form
Circumscribed flat lesion identified by color (ex.freckle)

Front 47

Elevated Lesion (Non-blisterform)

Back 47

Solid, no fluids, can be pedunculated or sessile
May be papules, tumors, nodules or plaques

Front 48

Elevated Lesion (Blisterform)

Back 48

Contains fluid and usually are soft and translucent
May be vesicle, pustule or bulla

Front 49

Occipital Lymph Nodes

Back 49

Located on back of head, close to margin of trapezius muscle