Mouth & Throat Flashcards
Odynophagia
Pain with swallowing
Globus hystericus
A constant “lump in the throat” (no anatomical cause)
Trismus
Lock jaw (seen in tetanus)
Dysphagia
Difficulty swallowing
Ageusia
Loss of taste
If ageusia (loss of taste) occurs unilaterally, what CN would be suspected?
CN VII - Facial
Hypogeusia
Diminished taste
Dysgeusia
Unpleasant or obnoxious taste
Xerostomia
Loss of salivation (ex: rheumatoid arthritis)
If hoarseness accompanies throat pain, what is suspected?
Laryngeal disease
“Crowing sound” on inspiration and expiration
Stridor
What CN is involved in the patient sticking out their tongue?
CN XII (Facial)
The “connection” piece in the middle below the tongue is called?
Frenulum
Where is the parotid duct opening?
In cheek back by upper molars
The parotid duct opening may also be called?
Stensons
Tonsils enlarge naturally until age __
7
When checking the gag reflex, you are doing a motor test of CN __ and __
IX, X
“Fever Blister” on the lip. Marked most commonly by the eruption of one or more groups of vesicles on the vermilion border of the lips or at the external nares.
Herpes Simplex Virus 1 (HSV1)
Aphthous ulcer
Canker sore
This lesion is a red ulcer with a red rim. It is very painful and usually inside the mouth.
Canker sore (aphthous ulcer)
Commonly used amino acid for canker sores?
L-lysine (or B12)
Blotchy hyperpigmentation of the lips and oral mucosa would suggest?
Addison’s disease (adrenocortical insufficiency)
Most common oral neoplasm?
Oral cancer
Heaped up hard margins w/central ulceration. A chronic sore that doesn’t heal. Bleeds easily. Can be inside or outside mouth.
Oral cancer
Appears 10-30 days after exposure to someone with this disease. Raised, hard borders with central ulcer. Usually painless, commonly on upper lip. Sexually transmissible.
Primary chancres of syphilis
Scurvy is related to vitamin __ deficiency
C
Teeth do not meet correctly
Malocclusion
A patchy white lesion found on the mucous membrane of the mouth. Usually in response to chronic irritation (chewing snuff). Considered premalignant
Leukoplakia
If a patient has the sudden inability to protrude tongue, what are you thinking?
Malignancy
Deviation (and possibly atrophy) of the tongue on one side is related to damage of CN __
XII
If a patient has damage to CN XII on the right side, which way will the tongue deviate when protruding?
To the right
Beefy red tongue. Occurs in the adult. Causes include folic acid malnutrition or iron deficiency.
Atrophic glossitis
Yellowish granulations inside the cheek which are NBD
Fordyce spots
Something that “Only occurs in this disease”
Pathognomonic
Gray-white spots located in the area of the parotid duct opening. Compared to fordyce spots. Pathognomonic
Koplik spots of measles
Inflammation of the throat that can lead to sore, scratchy discomfort. “Sore throat”
Pharyngitis
Pus containing
Purulent
A childhood condition - upper airway infection that results in swelling around the larynx, trachea and bronchitis. Characteristic BARKING cough, stridor
Croup
Croup in an adult is known as ____
Laryngitis
Patient has a severe sore throat, fever, difficulty breathing or swallowing and is in the “tripod” position. What is suspected?
Epiglottitis
A toothache could be referred from what two things?
Sinus or HEART
Chicken pox can be inside or outside the mouth. It is the same virus as?
Shingles
