Chapter 39 Flashcards
Inflammation of the gums in the mouth?
 gingivitis
What is the most common cause of tooth loss among adults?
Periodontal disease
What is an erosive process that begins with the action of bacteria in the mouth which produces acids that dissolve tooth enamel
Tooth decay
What is the hardest substance in the human body?
Tooth enamel
What is a gluey gelatin like substance that adheres to the teeth?
Dental plaques
What is the primary lesion of syphilis?
Chancre
White patches with rough hair like projections typically found on the lateral border of the tongue?
Oral hairy leukoplakia
Inflammation of the mucus lining of the mouth
 stomatitis
What is another term for canker sore?
Aphthous stomatitis
If brushing the teeth is not possible what should you do?
Wipe the teeth with the gauze pad and then have the patience swish with an antiseptic mouthwash
Abscessed tooth is also called?
Periapical abscess
A discomfort in the muscle controlling jaw function and in the neck and shoulder muscles
 Myofascial pain
What are symptoms related to a TMJ disorder?
 headache
 Earache
 dizziness
Hearing problem
About how much saliva is produced daily?
1500mL
Inflammation of the parotid gland?
Parotitis
The onset of parotitis is what?
Sudden associated with fever, chills, and other systemic signs of infection
With parotitis what May the treatment be?
Parotidectomy- the gland may need to be drained
Inflammation of the salivary glands?
Sialadenitis
What are symptoms of Sialadenitis?
Pain,swelling, and purulent discharge 
Another word for salivary calculi
Sialolithiasis
What is a procedure for sialolithiasis that requires anesthesia and uses a shock wave and disintegrates the stone?
Lithotripsy
A benign tumor of the salivary glands may just have what present?
Painless swelling of the glands
What is the cancer cell that is usually malignant of the oral cavity?
Squamous cell carcinoma‘s
A typical lesion in oral cancer is what?
Painless hardened ulcer with raised edges
When the patient has cancer of the tongue what tx may preserve tongue function to maintain quality of life?
Radiation therapy and chemotherapy
What is the term for removal of the tongue
Total glossectomy
What is the term for dryness of the mouth?
Xerostomia
Removal of all cervical lymph nodes from the mandible to the clavicle, removal of the sternocleidomastoid muscle, internal jugular vein, and spinal accessory nerve on the one side of the neck
Radical neck dissection
After a neck dissection what suction may be used to help remove oral secretions?
Yankauer suction
How much serosanguineous secretions from a neck dissection my drain over the first 24 hours?
80-120mL
A graft from the neck dissection is present what should it look and feel like?
Pale pink and warm to touch
What may be a potential complication for a neck dissection?
Hemorrhage from a carotid artery rupture
What is most common after a radial neck dissection and often requires extensive physical rehab?
Shoulder dysfunction
What type of feeding is indicated when the esophagus and stomach needs to be bypassed or when the patient is at risk for aspiration?
Nasoduodenal or Nasojejunal feeding
Physiologic response to rapid emptying of gastric contents in the small intestine manifested by nausea, diaphoresis, weakness, sweating, palpitations, and possibly diarrhea?
Dumping  syndrome
What can dumping syndrome lead to?
 dehydration
Hypotension
tachycardia 
What is the most common symptom of esophageal diseases?
 dysphasia
Failure of the esophageal sphincter to relax in response to swallowing
Achalasia
Another term for heartburn
Pyrosis
And out-pouching of mucosa and submucosa that protrudes through a weak portion of the musculature of the esophagus
Esophageal diverticulum
The diaphragm enlarged in which the upper stomach moves up into the lower portion of the thorax?
Hiatal hernia
Forceful vomiting or severe straining is called ?
Boerhaave syndrome
Chemical burns of the esophagus may be caused by what?
 and undissolved medication
Disorder marked by backflow of gastric or duodenal contents into the esophagus that can cause trouble some symptoms such as; pyrosis, a burning sensation in the esophagus, regurgitation
GERD
Cancer of the esophagus has been associated with ingestion of what
Alcohol and tobacco
Primary symptom of achalasia is what?
Difficulty swallowing
Symptoms of early oral cancer?
Produce no symptoms in the early stage
Symptoms of a hemorrhage include?
Tachycardia
Tachypnea
Hypotension
What can be prescribed for GERD
Metoclopramide
Tube placement for continuous tube feeding is checked when?
Every shift
When a patient feels the urge to vomit how should they breath?
Long, slow breaths
Symptoms of dumping syndrome?
Weakness
Diaphoresis
Diarrhea 90 min after meal
