Throat Flashcards
Transient causes of tongue ulcer
Trauma
Aphthous ulcer
Autoimmune
Causes of oral mucosal discoloration
Melanosis
Leukoplakia
Erythroplasia
Neoplastic causes of mouth ulcers
SCC
Kaposis
Melanoma
Floor of mouth swelling
Ranula
Tumour
Submandibular duct calculus
Torus mandibularis
Hard palate mass
Minor salivary gland tumour
Torus palatinus
Indications for tonsillectomy
Absolute - ?malignancy
Relative - recurrent, >2 quincies, febrile convulsions, upper airway obstruction
Diff for unilateral tonsil swelling
Quincy
Tumour (SCC, Kaposi, lymphoma)
Parapharyngeal mass
Swollen tonsil in adult
Infectious mononucleosis
Diphtheria
Investigations for enlarged tonsil in adult
Throat swab
Monospot/ EBV serology
Rx for EBV/diphtheria
Analgesia, fluid, antipyretic Abx penicillin (not ampi or amoxi as gives rash)
Avoid alcohol and contact sport
Causes of hoarseness
Reinkes oedema
Viral papillomatosis
Polyp
Squamous Ca
When to refer urgently for hoarseness
3-4 week hx
Difficulty breathing or swallowing
Neck mass
20:40 rule for neck lumps
40= neoplasia (1ry or 2ndry)
Diff for tongue swelling
Angioneurotic oedema
Trauma
Macroglossia