General Flashcards
what are the 3 reasons to refer to OM
- Standard primary setting treatment not having an effect on a symptomatic lesion
- cannot convince patient that their benign lesion is not cancer
- abnormal and unexplained changes to the oral mucosa (clinician threshold changes as career progresses)
when do you refer to a hospital and how?
when there is suspected cencer or dysplasia - via the SCI gateway 2 week cancer referal pathway
when to refer white lesions in mouth
- lesions without cause (lateral border of tonue, floor of mouth, soft palate)
- becoming raised and thcikened
When NOT to refer
- asymptomatic variations of NORMAL mucosa
- if unsure photograph and compare at next appointment
meaning of neoplasm
an abnormal growth of cells (carcinoma)
when to refer for RAS type disease
- if <12 yo as means large genetic component as not growth causing the issue
- if have have been for haematinics blood test, have had 3 months to try revert this deficiency AND…
- have prescribed topical and still not helping
what has to be on your differential diagnosis if there is crusting of the lips from healing ulceration
- erythema multiforme
- as this effects more anteriorly in the mouth even if no skin lesions
what are the best lines to say when unsure of extra information
- check … guidlines
- Consult a specialist
- condult patients GP
antibodies looking for in aphthous ucleration
- anti LA
- anti RO
- ANA (anti nucliac antibody)
* ANA NOT WHAT LOOK FOR IN SJOGRENS
difference between Trigeminal neuralgia and painful trigeminal neuropathy and Trigeminal autonomic cephalalgias
- PTN = more likely burning / tingling or squeezing pain, widespread down entire branch, more continuous background sensation, more likly sensory deficit
- TAC = cluster headache or paroxysmal hemicrania (shorter version), very severe, ophthalmic branch most likley, migranous symptoms,
important
pemphigoid can look like angina bullosa haemorhagica as can have blood in infiltrate due to being so close to vessels
