GI Medicine - Swallowing Problems Flashcards
(88 cards)
what are the clinical signs of oropharyngeal disease?
drooling saliva (+/- blood)
halitosis
dysphagia
odynophagia
what is ptyalism?
overproduction of saliva
what may ptyalism be due to?
painful or diseased area of the mouth
what is pseudoptyalism?
normal amount of saliva produced but it is leaving the mouth rather than being swallowed
what are the non-oral causes of drooling/salivation?
nausea
mediaction
liver disease
what are the main causes of halitosis?
dental disease
oral and non-oral causes (e.g. lung infection or anal sac disease)
what is dysphagia?
difficulty eating or swallowing
what is odynophagia?
pain on swallowing
what is involved in the investigation of oral disease?
physical exam (sedation or GA may be needed) radiographs minimum database FNA and/or biopsy special tests
what must be considered about type and use of sedation/GA when patients have oral disease?
how feasible is intubation
what may you be looking for in the mouth of a patient with suspected oropharyngeal issues?
oropharyngeal foreign bodies
oral ulceration
oropharyngeal inflammatory disease
define chelitis
inflammation of the lips
define glossitis
inflammation of the tongue
define gingivitis
inflammation of the gums
define stomatitis
inflammation of the oral mucosa
define gingivostomatitis
inflammation of the gums and oral mucosa
what oropharyngeal neoplasia is seen in dogs?
benign and malignant
what oropharyngeal neoplasia is seen in cats?
almost all melignant
what is an example of a benign tumor?
epulis
what are examples of malignant oropharyngeal tumors?
squamous cell carcinoma
malignant melanoma
sarcomas
where may malignant tumors have effect?
locally invasive
metastatic (LN and lungs)
how is oropharyngeal disease treated?
depends on underlying cause
how is oropharyngeal neoplasia treated?
surgery
cryosurgery, radiation, chemotherapy
how is oropharyngeal foreign body treated?
remove