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12 Cards in this Set
- Front
- Back
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In a submental lymph node exam, a lymph node is palpatible where? You use one finger to feel for the pair of them If a lymph node is normal what should you feel? If you were to feel something, describe the lymph node |
Behind the midline of the mandible Normal lymph node = shouldn't feel it (nonpalpitable) -should be the size of a jelly bean, freely moveable, and soft |
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Just behind the submental lymph node is the? How is this exam done? |
Submandibular lymph node -Palpate by standing behind the patient This removes visual observations and only relies on tactile feel |
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Reactive lymphadenopathy (lymphoid hyperplasia) results in? This is common and is? Chronic infections usually lead to harder lymphoid and difficult to differentiate from neoplastic lymph node. What is chronic reactive lymphadenopathy usually associated with? |
Swollen glands a normal immune response to antigen Periodontal disease |
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If you palpate and find nothing it's described as? If you do find something, what 5 things can you describe? |
non-palpable 1. consistency 2. tenderness 3. outline 4. mobility 5 size |
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Lymphatic drainage of oral cavity: What lymph nodes do we check first, why? |
Submental and submandibular lymph nodes because most teeth drain there Then we check superior cervical nodes because maxillary 3rd molars drain to the neck |
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MALT (mucosa associated lymphoid tissue) is concentrations of lymphoid found in different parts of the body. It is harder to detect but what is one characteristic of this? |
Yellow, on tongue or floor of mouth |
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Waldeyer's ring is a lymphoid tissue ring located?
-What 3 things does it consist of? -of these 3 which one is visual? |
Waldeyer's ring = in the phrynx and in the back of the oral cavity
1.pharyngeal tonsil (adenoid) 2.palatine tonsils (the tonsils) 3. lingual tonsils -Palatine tonsils |
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Where is the most common place to get oral cancers? |
Posterior lateral tongue called foliate papilla (like a leaf) |
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Neoplastic lymph node can be what 2 things?
What characterizes neoplastic lymph nodes? |
1. Lymphoma-malignancy of lymphocytes
2. Metastatic carcinoma to a lymph node -firmer and not moveable |
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Lymphoma: hodgkin's and non-hodkin's -are a malignancy of lymphocytes -fatigue, anorexia, weight loss, and night sweats are symptoms Which is LESS common? -Where does the above begin? -Bimodal: seen in what 2 age groups? |
Hodgkin's lymphoma -Begins in the neck/cervical/submandibular enlargements then goes down the body 20-30yr olds, and 50-70yr olds |
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Metastatic carcinoma: What is the most common oral cavity malignancy? Where does it start from? |
Squamous cell carcinoma of the mouth Starts in the lymph node of the neck to the cervical lymph nodes |
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Size of tumor and lymph node spread determines what stage it's in Which stages show no nodes? Which stage has small lymph nodes? Which stage has multiple and large lymph nodes? |
Stage I and II Stage III Stage IV |
