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PDX : Mouth / Throat

Terms in this set (47)

Two most common types of sore throat
Viral / Bacterial Infection
Medical Term for pain with swallowing
Odynophagia
If there is pain only during swallowing, what would you suspect?
Mass lesion
Seen often in tetanus, medical term is Trismus
Lock Jaw
Medical term for difficulty in swallowing
Dysphagia
Trouble swallowing solids suggests a _______ issue; while trouble swallowing liquids suggests a _________ issue.
mechanical ; neurological
Medical term for loss of taste
Ageusia
Unilateral loss of tastes suggests lesion of what nerve?
Cranial Nerve 7 (Facial)
Medical term for loss of salivation
Xerostomia
This nerve can be interrupted by lung disease or aortic arch pathology and cause hoarsness
Recurrent Laryngeal nerve
Name two reasons for hoarseness
1. Heavy use of throat (singers / teachers) 2. Malignancy of vocal cords (fumes/smoking) 3. Tumor/Leukoplakia (there may be more)
Medical term for bad breath
Halitosis
Medical term for difficulty articulating. May indicate a cerebral vascular disease / stroke
Dysarthria
What cranial nerve causes voluntary movement of the tongue from side to side?
CN 12
Name three type of papillae on tongue
Filiform, Fungiform, Circumvallate
Important structure of the tongue flanked by ducts of submaxillary salivary glands. Important for breast feeding.
Frenulum of tongue
These ducts are found on the floor of the mouth, occasionally get calculi in them over age 40.
Submaxillary Ducts
These ducts are found in the cheeks, may become red when inflammed
Parotid ducts
What disease may cause parotitis purulent material to drain from the parotid glands?
Mumps
True or False : When testing for the gag reflex, you want to see asymmetrical elevation of the soft palate?
False ; symmetrical elevation
True or False : The motor test of the gag reflex is CN 9 & CN 10
True
Also known as Fever blister, marked by the eruption of one or more groups of vesicles on the border of lips and nares
Herpes Simplex Virus 1
Non-infectious red ulcer with a red rim. Very painful, usually found on lips or cheek.
Aphthous Ulcer (Canker Sore)
List two reasons for fissuring and cracking of the lips
Poor nutrition (riboflavin deficiency) ; poor hydration ; poor fitting dentures (there may be more)
Hyperpigmentation of the lips and oral mucosa may be a symptom of this disease.
Addison's disease
Most common carcinoma of the lips. Bleeds easily but is painless (no nerve supply)
Oral Neoplasm
Patient presents with raised hard bump on lips with a central ulcer (painless). Ulcer is indented, what is the disease?
Primary chancres of Syphilis
Transilluminate cyst that forms between the gums and the buccal walls
Mucocele
Define healthy gums (3)
1) Pink 2) Firm 3) Not easily bleed
Patient presents with red inflamed gums, presence of plaque. Diagnosis?
Gingivitis
Patient presents with severe recession of gums and missing many teeth due to infection. Diagnosis?
Alveolar Pyorrhea
Abnormal swelling of gums
Hypertrophied gums
Patient presents with silver coloring along base of teeth and gums. Diagnosis?
Heavy metal intoxication (silver, lead, bismuth)
Medical term for teeth not aligned properly
Malocclusion
Premalignant patchy white lesion found on mucous membrane of the mouth
Leukoplakia
Cottage cheese white patches on the mouth / tongue
Yeast Infection (Oral Thrush / Candidiasis)
Patient presents with tongue deviating towards one side, what nerve was damaged?
Hypoglossal
Child presents with splotchy loss of papillae, harmless condition
Geographic Tongue (Benign migratory glossitis)
What causes hairy tongue?
Overuse of antibiotics
Yellowish granulations inside the cheeck
Fordyce Spots
White line present on the mucosa of the cheeks
Linea Alba
Gray white spots surrounded by red rim, located in area of parotid duct opening. Is pathognomonic of this disease
Koplik's Spots of Measles (Rubella)
Small red dots caused by the herpes zoster virus
Chicken Pox
Midline bony variant on the hard palate
Torus Palatinus
Bony variant/shelf inside lower gums
Torus Mandibularis
Patient presents with red and swollen tonsils, may be impacting breathing. Diagnosis?
Acute Tonsillitis
Patient presents with swollen cervical lymph nodes and pain with swallowing. Upon looking in the patients throat, notice white patchy spots. Diagnosis?
Streptococcal Sore Throat (Pharyngitis)
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