Oral-buccal-tongue Lesions Flashcards
Name 4 ddx for a white tongue.
1- Oral Leukoplakia
2- Lichen planus
3- Chemical burn
4- Candidiasis (oropharyngeal)
What should you check on a white tongue specifically. (2)
1- Can it be scraped off with a gaze? (If so likely candidiasis)
2- Palpate for thickened, well defined borders. (Oral leukoplakie, could be cancerous)
What other body part should you inspect in the case of oral lesions
Skin including Genital area for concurrent lesions that would indicate systemic problem.
Risk factors for oral cancer. (3)
Smoking.
Chewing tobacco.
Alcohol consumption
Red flag for tongue lesion (5)
1- ulcer not healed in 3 weeks.
2- unusual lump or swelling
3- numbness
4- unable to move jaw
5- difficulty speaking
What do you do with minor aphthous ulcer? (Canker sore) (5)
1- Should heal on it’s own 7-10 days
2- If concurrent lesions elsewhere or no improvement in 2 weeks, RTC.
3- Salt water rinse.
4- Topical anti-inflammatory for comfort.
5- Avoid triggers/address traumas
Treatment and Counseling for oropharyngeal candidiasis (thrush) (4)
1- Nystatin x 7-14 days for baby
2- Canesten for mom’s nipples
3- Wash soother and clean bottles ++++
4- If older, check for immune status and avoir precipitating factors (inhalers, rinse after, good oral hygiene)
Tooth pain physical exam (4)
1- Check ears.
2- Check throat and neck. (Adenopathies)
3- percuss to see if causes pain
4- Inspect
Ddx for sore throat. (5)
1- Mononucleosis
2- Viral pharyngitis
3- Gono/chlam
4- Influenza
5- Bacterial pharyngitis/tonsillitis
Counselling for mono?
No contact sports s/t risk of spleen rupture.
Ddx for hoarseness (5)
1- Laryngitis d/t corticosteroid
2- Voice overuse.
3- Viral laryngitis
4- Reflux
5- Cancer
History taking for hoarseness (5)
1- Overuse of voice?
2- MEdication use?
3- Risk factors? (Smoking, alcohol intake, reflux, exposure to irritants/carcinogens)
4- HPV
5- Recent symptoms of gastroesophageal reflux?
