Oropharynx

Front 1

The most common acute oral ulcer. Pain in an area of a sore; short duration (1-2 weeks). Single lesion with raised erythema at its border; center often with necrotic debris; occasionally purulent; mild lymphadenitis may be present. Patient can frequently relate the cause (biting cheek while eating)

Back 1

traumatic ulcer

Front 2

Painful, recurrent white sore with red border on lips, inner side of cheeks, tip and sides of tongue, or palate. Second most common acute oral ulcer. 60% of population has periodic canker sores lasting up to 2 weeks. Etiology unknown. Single lesion 0.5-2 cm in diameter that is first maculopapular but then ulcerates and has area of erythema at its border; lesions usually only on movable mucosal areas.

Back 2

Aphthous ulcer (canker sore):

Front 3

Asymptomatic. Clusters of small, yellowish, raised lesions best seen on the buccal mucosa opposite the molar teeth. Common in older individual. Normal. Represent hyperplastic sebaceous glands.

Back 3

fordyce spots

Front 4

Painless white area on inside of cheek, tongue, lower lip or floor of mouth. Patient usually men over age of 40. Linked to smoking, AIDS, alcoholism and chewing tobacco. Hyperkeratinized, whitish lesion that cannot be scraped off; looks similar to flaking white paint; often speckled with reddish areas; associated adenopathy may indicate malignant changes of lesion.

Back 4

lleukoplakia

Front 5

Usually no symptoms; erosive form causes painful, burning sores of inner side of cheeks or tongue. Non-erosive form is most common cause of white lesions in mouth; skin involvement in 10-35% of patients; more frequently seen in patient with emotional stress. White lesions on buccal mucosa bilaterally in form of reticulated papules in lace-like pattern; erosive form appears hemorrhagic, ulcerated lesion with possible white areas or bullae. Pseudomembrane may be present over lesion.

Back 5

lichen planus

Front 6

Burning areas of tongue, inside of cheek, or throat. Often seen in debilitated patients who are immunosuppressed or patients on long-term antibiotic therapy. Common in patients with AIDS. Whitish pseudomembrane, resembling milk curd that can be peeled off, leaving a raw erythematous area that may bleed.

Back 6

candidis

Front 7

Glossodynia. Usually affects tongue. Idiopathic. Most common in middle-aged and older women. No lesions, just pain. Occasionally associated with iron or folate deficiency glossitis, xerostomia from meds, diabetes.

Back 7

burning mouth syndrome

Front 8

Vincent’s disease/Trench mouth. Common in young people under stress with poor hygiene and nutrition. Seen on college campuses during exams. Very painful ulceration. “Punched out” interdental papillae. Pseudomembranous tissue, fetid halitosis. Treatment is debridement and metronidazole.

Back 8

Acute Necrotizing Ulcerative Gingivitis (ANUG)

Front 9

Painless excess tissue at border of denture. Gingival hyperplasia seen as side effect to Dilantin. Also seen in normal pregnancy; resides with birth.

Back 9

dental hyperplasia

Front 10

Acute, contagious, systemic viral disease
Painful enlargement of salivary glands; parotid most common
Complications-orchitis, meningoencephalitis, pancreatitis
Dx-clinical
Tx-supportive
Prevent-vaccine effective

Back 10

mumps

Front 11

Sudden onset of multiple burning ulcers in mouth or lips. Precipitating factors include drug reactions, viruses, endocrine changes, malignancy. Common in winter and spring in young adults; frequently recur. Hemorrhagic areas of ulceration with erythematous bases often with pseudomembrane. Lesions start as bullae; skin involvement common.

Back 11

erythema multiforme

Front 12

Painful sore on lips or tongue lasting 2 weeks to 3 months. Single ulcerated lesion with indurated borders; lesion without central necrotic material; tender lymphadenitis may be present.

Back 12

chancre

Front 13

Painful, recurrent sores on the lips. Multiple papules, vesicles or ulcers on the mucocutaneous junction, hard palate, or gingivae. When bullae break, crusting occurs. Primary herpetic infection with multiple lesions in clusters on fixed mucous membranes; small discrete, whitish vesicles before ulceration. Ulcers about 1 mm in diameter; may coalesce. Tender lymphadenopathy, fever, and malaise. Commonly seen in children. Lip lesions represent recurrent form, common in adults. Self-limited illness, 1-2 weeks in both primary and recurrent forms.

Back 13

hepatic ulcer (cold sore , fever , blister)

Front 14

Infection between tonsil and tonsillar pillar. Complication of tonsillitis
Sx-dysphagia, drooling, severe ST, pain radiating to ear, muffled voice, malaise, fever
PE-tonsil, pillar, soft palate red and swollen, displaced uvula, enlarged cervical nodes.

Back 14

peritonsilar abscess

Front 15

Submandibular space infection. Acute cellulitis of soft tissues below mouth
Sxs-pain, dysphagia, airway obstruction
Dx-clinical
Tx-airway mmgt, surgical drainage, IV antibiotics

Back 15

ludwig angina

Front 16

Inflammation or infection of tonsils. Group A Beta Hemolytic Strep
Sx-ST, referred pain to ears, dysphagia, fever, fetid breath, malaise
PE-tonsils red, swollen, tonsillar crypts with exudate
Tx-antibiotics

Back 16

strep tonsillitis and pharyngitis

Front 17

Slow growing, painless mass on inner surface of cheek. Yellowish, non-tender, soft mass; freely mobile. Harmless

Back 17

lipoma

Front 18

Intermittent, painless swelling of lower lip or inside of cheek; slightly bluish; occasionally ruptures. May be related to trauma or inflammation. Dome-shaped 1-2 cm in diameter, freely mobile cystic lesion.

Back 18

mucocle

Front 19

Bacterial infection of a salivary gland
Usually due to obstruction by stone or gland hyposecretion
Sx-swelling, pain, redness, tenderness
Dx-clinical, CT, US
Tx-antibiotics

Back 19

Sialadenitis

Front 20

Gagging sensation associated with “hairy” sensation of tongue; large, blackish, painless lesion on top of tongue. Elongation of filiform papillae on dorsum of tongue with change in color to almost black. History of excessive antibiotic use, excessive use of mouthwash, poor oral hygiene, smoking, or alcohol is common.

Back 20

hairy tongue

Front 21

Squamous Cell Carcinoma:Ulcerated sore of the lips, floor of the mouth, or tongue (especially lateral borders). Common in alcoholics or smokers. Single indurated lesion with indurated and raised border; often in area of leukoplakia; absence of necrotic material in crater; base often erythematous; speech alteration may occur if lesion is large; painless lymphadenopathy may be present in neck; may metastasize.

Back 21

squamous cell carcinoma