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30 Cards in this Set
- Front
- Back
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What are the clinical signs of dz of the oral cavity?
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anorexia, salivation (pythalism), oral dysphagia, stridor/stertor, facial deformity, coughing/dyspnea (secondary to aspiration)
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What are the three common diagnostic procedures?
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1. Physical exam- external (head and neck) internal (sedation, look under tongue)
2. Pharyngoscopy/ Laryngoscopy 3. Diagnostic Imaging |
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What is macroglossia?
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Enlarged tongue
Bracheocephalic breeds (MC)Treatment – can be surgically resected if necessary |
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What is ankloglossia?
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abnormal development of the tongue
Potentially fatal in neonates due to inability to nurse Inappropriate rostral attachment of the lingual frenulum (Tm= Surgical separation) |
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What is lateral deviation of the tongue?
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rare condition, easily correctible with minor surgery
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What is the sequela for trama of the tongue?
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It is a very vascular organ and you will see significant hemorrhage
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What is glossitis?
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inflammation of the tongue caused by infection
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What type of species do you see hyperplastic lesions?
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small breed dogs that pant alot
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What are the 3 forms of eosinophilic granuloma Complex
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-linear granuloma
-eosinophilic ulcer -ulcer plaque |
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What are the clinical signs of Eosinophilic Granuloma Complex?
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anorexia, dysphagia, ptyalism
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What is the etiology and Dx of Eosiniohilic Granuloma Complex?
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Etiology – uncertain
Hypersensitivity response Immune-mediated Bacterial/viral Diagnostics Supportive CBC – eosinophilia Confirmatory – biopsy |
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What is the treatment of Eosiniohilic Granuloma Complex?
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Glucocorticoids – aggressive therapy (Intralesional or Systemic)
In Refractory Cases – cryosurgery, laser therapy, immunotherapy (?), irradiation |
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What is the prognosis Eosiniohilic Granuloma Complex?
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50% in 5 months
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What is stomatits?
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inflammation of the oral mucosa
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What is the etiology of stomatits?
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Associated with systemic immune-mediated disease-
(SLE, bullous idiopathic vasculitis) Infectious – FeLv, FIV, feline syncytium-forming virus, calicivirus, feline herpes, FIP Candida Idiopathic – lymphocytic-plasmacytic |
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In stomatits candidiasis is secondary to ______ and appears as ________.
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secondary to immunosuppressive disease or immunosuppressive therapy
appears as a white, irregular, pseudomembranous covering |
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What is the presentation of lymphocytic-plasmacytic stomatitis (Chronic gingivitis/stomatitis)?
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range from gingivitis to severe ulceration involving palatoglossal folds and fauces
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How do you diagnose and treat lymphocytic-plasmacytic stomatitis (Chronic gingivitis/stomatitis)?
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Diagnosis – requires biopsy and ruling out other diagnosable causes
Treatment -Dental cleaning care -Glucocorticoids – immunosuppressive dosing -Antibiotics – anaerobic |
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What are the Benign Neoplasms in the oral cavity?
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papilloma, fibroma, lipoma, chondroma, hemangioma, hemangiopericytoma, histiocytoma, and epulides
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What is the Canine oral papillomatosis?
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single to multiple lesions of viral etiology
May be associated with young or immunosuppressed individuals Appearance – initially appears as smooth white nodule progressing to gray with “fronds" |
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What is the treatment of Canine oral papillomatosis
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usually self-limiting (up to 2 months)
Crushing some lesions may stimulate resolution Surgical removal if large and interfering with eating Immunostimmulants – interferon α (?) |
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What are malignant neoplasms of the oral cavity characterized by?
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early invasion of gingiva and bone
early metastasis to regional lymph nodes lungs most common site of visceral metastasis |
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What is the appearence, diagnosis, and staging of oral malignant melanomas?
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Appearance – dome-shaped to sessile, color – black to non-pigmented
75% are malignant, mucocutaneous junction always malignant Diagnosis – biopsy Staging – regional lymph node, thoracic radiographs |
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What is the treatment of local dz in oral malignant melanomas?
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Curative surgical resection (Partial or hemi-mandibulectomy / maxillectomy may be required)
Radiation therapy |
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What is the treatment of distal dz or persistent local disease in oral malignant melanomas?
(SCC & Melanoma) |
Squamous Cell Carcinoma
-Dogs – Cysplatin -Cats – Doxorubicin + Cyclophosphamide, intralesional or systemic carboplatin Melanoma -Dogs – cysplatin or carboplatin (canine oral melanoma vaccine) |
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What is a mucocele and where is it's common site of formation?
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It is a accumulation of saliva in the subcutaneous tissues caused by poss trama
Sites of formation Sublingual gland is most commonly involved Most common location - forms a mucocele at the intermandibular (cervical) area May form under tongue or in the pharynx Other sites – zygomatic |
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What are the clinical signs of mucocele's?
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Early – swelling and painful
Chronic – slowly enlarging, non-painful Pharyngeal form may progress to respiratory distress and dysphagia |
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What are the dx and treatment of mucocele's?
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Diagnosis – based on clinical signs and paracentesis
Sialography may be required to delineate side of origin and possibly the area of leakage. Treatment – surgery. Note the mucocele is not a true cyst (not secretory) therefore treatment requires removal of the associated salivary gland/duct complex |
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What is the cause of pharyngitis/larnygitis?
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Usually secondary to other etiologies
Infectious – feline herpes, feline calici Caustic or toxic etiologies – strong acids/alkali, insect stings Trauma – iatrogenic (tracheal intubation) Note – consider rabies |
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What is tonsilitis and what is the cause?
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Inflammation of the palantine tonsil (a lymph node)
Rarely a primary disease – usually secondary to other oropharyngeal disease |
