Mouth and throat pathologies Flashcards

1
Q

What causes aphthous ulcers?

A

Stress
Diet
Oral hygiene
Hormones

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2
Q

What is the presentation of aphthous ulcers?

A

Usually edge of tongue, appear in crops

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3
Q

How do you treat aphthous ulcers and when do you treat them?

A

Treat if severe and recurrent

Analgesia and steroids

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4
Q

What causes infective ulcers?

A

Usually HSV

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5
Q

What is the presentation of infective ulcers?

A

Painful

Pyrexia, malaise

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6
Q

What are the risk factors for oral candida?

A

Young or old
Immunocompromised
Inhaled steroids

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7
Q

What is the presentation of oral candida?

A

White patches/membrane with underlying red, raw mucosal surface

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8
Q

What is the diagnosis and management of oral candida?

A

CLinical

Topical cotrimazole or oral fluconazole

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9
Q

What is black hairy tongue?

A

Overgrowth and discolouration of filiform papillae

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10
Q

What are the risk factors and management for black hairy tongue?

A

Smoking

Manage w vigorous brushing/scraping

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11
Q

What are the common causes of tonsillitis?

A

Viral

Bacterial

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12
Q

What is the presentation of tonsillitis?

A
Pain
Dysphagia and odynophagia
Enlargement of tonsils
Fever, malaise
Lymphadenopathy
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13
Q

How is tonsillitis diagnosed?

A

Clinical diagnosis

Throat swab if suspect of bacterial

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14
Q

What are the criteria for antibiotics in tonsillitis?

A
FeverPAIN
Fever
Purulence
Attended <3 days
Inflamed tonsils
No cough/coryza
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15
Q

What is the antibiotic management of tonsillitis?

A

10 days phenoxymethylpenicillin

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16
Q

What are the complications of a tonsillectomy?

A

Haemorrhage

Coroner’s clot

17
Q

What is quinsy?

A

Peritonsillar abscess

Common post infective complication of tonsillitis

18
Q

What is the presentation of quinsy?

A
Lateral based, peritonsillar swelling
Displacement of uvula away from affected side
Drooling, dysphagia
Pain, esp on opening mouth
Trismus (lockjaw)
19
Q

What is the management of quinsy?

A

Drain abscess
Antibiotics
Dexamethasone

20
Q

What causes laryngitis?

A

Infection, usually viral

Trauma

21
Q

What is the presentation of laryngitis?

A

Hoarse voice
Cough
Pain

22
Q

What is the management of laryngitis?

A

Mainly supportive- analgesia, rest, hydration

23
Q

What is the most common cause of epiglottis?

A

Bacterial

24
Q

What is the presentation of epiglottis?

A
Children more common
Rapid progression
Dysphagia and drooling
Hoarse, fever, very unwell
Increased RR, stridor, leaning forward
25
Q

What is the management of epiglottis?

A

Secure airway
Antibiotics
Neb adrenaline
Dexamethasone

26
Q

What are the risk factors for SCC of the mouth?

A

Smoking
alcohol
age

27
Q

What are the common sites of SCC mouth?

A

Lateral border of tongue

Floor of mouth

28
Q

What is the presentation of SCC mouth?

A

Ulcerating mass
Painful
Dysphagia, odynophagia
Progressive