Chapter 215- Evaluation of smell and taste disturbances Flashcards

1
Q

What are the disturbances in smell, injury to taste buds that cause impaired taste?

A
Age
Smoking
Hot liquids
Dental disease
Sjogrens Syndrome
Idiopathic conditions
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2
Q

What are the cranial nerve lesions (seventh or ninth, partial loss only) causes of impaired taste?

A

Ear surgery
Bell’s palsy
Ramsay-hunt syndrome (herpes zoster infection of the geniculate ganglion)
Cholesteatoma
Cerebellopontine angle tumor (advance disease)

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3
Q

What are the central lesion causes of impaired taste?

A

Head trauma

Tumors (rare)

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4
Q

What are the psychiatric disorder causes of impaired taste?

A

Depression

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5
Q

What are the drug causes of impaired taste?

A
Captopril
Imipramine (and other tricyclic agents)
Clofibrate 
Lithium
L-Dopa
Acetazolamide
Metronidazole
Glipizide
Iron
Tetracyclone
Allopurinol
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6
Q

What are the metabolic-endocrine conditions causes of impaired taste?

A
Hypogonadism
Uremia
Hypothroidism
Hepatitis
Pregnancy
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7
Q

What are the nasal causes of disturbance in smell?

A
Upper respiratory tract infection
Polyps
Ozena
Chronic sinusitis
Allergic rhinitis
Influenza and other virus
Chemical injury (Eg, tar, formaldyhyde )
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8
Q

What are the cranial nerve causes of disturbance in smell?

A

Trauma
Meningioma
Cerebral aneurysm

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9
Q

What are the cranial nerve causes of disturbance in smell?

A

Seizure disorder
Meningioma
Aneurysm
Schizophrenia

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10
Q

What are the metabolic-endocrine causes of disturbance in smell?

A

Hypothyroidism
Hypogonadism
Liver disease

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11
Q

What are oral cavity pathologic causes of halotosis?

A

Poorly fitting dental work
Periodontal disease
Sialadenitis
Abscess

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12
Q

What are posterior pharynx pathologic causes of halotosis?

A

Tonsillitis
Diverticulum
Tumor

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13
Q

What are sinus pathologic causes of halotosis?

A

Sinusitis
Tumor
Necrotic disease

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14
Q

What are esophagus pathologic causes of halotosis?

A

Reflux
Diverticulum
Motor dysfunction

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15
Q

What are the lung pathologic causes of halotosis?

A

Abscess

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16
Q

What are the metabolic pathologic causes of halotosis?

A

Renal or hepatic failure

Ketoacidosis

17
Q

What are psychiatric pathologic causes of halotosis?

A

Psychosis (self-perception only)