Oral Medicine Flashcards
1
Q
What would you notice upon examination in oral medicine? PART 1
EXTRA-ORAL
A
- General inspection – asymmetry, skin – colour, swelling, cranial nerves – V and VII, neck fullness
- Palpate : Neck – through levels – lymph nodes, salivary glands, vessels, then up to parotid/ cheeks.
- Check sensation, movement against resistance, feel lesions – soft mobility, definition, fluctuant
ALWAYS ASK FOR PAIN - COMPARE LEFT TO RIGHT
2
Q
What would you notice upon examination in oral medicine? PART 2
EXTRA-ORAL
A
Feel muscles of mastication – temporalis, masseters.
Ask to open close mouth – restriction in mouth opening, deviation of mandible.
Palpate TMJ’s – static and on movement – tender, crepitus, clicking.
Lips – colour, asymmetry, defined border, numbness
3
Q
What would you notice upon examination in oral medicine? PART 1
INTRA-ORAL EXAMINATION
A
- General overview – lubrication, oral hygiene, malodour
- Soft tissues – colour
- Mucosa
- Tongue
- Floor of mouth
- Palates
- Dentition
4
Q
What would you notice upon examination in oral medicine? PART 2
INTRA-ORAL EXAMINATION
A
- Palpate
- Saliva expressed through ducts.
- Bimanual palpation if masses felt in neck – levels 1A and 1B
- Compressible with glass slide – arterial/ vascular
- Lesion associated with tooth or denture edge
5
Q
Describe some variations of normal found in the tongue in an intra-oral examination.
A
- Geographic tongue
- Coated tongue/ hairy tongue – elongated filiform papillae
- Foliate papillae
- Scalloped tongue/ linea alba
- Fordyce spots
- Bony exostoses
6
Q
What are Oral Potentially Malignant
Disorders?
A
- Oral mucosal abnormalities with an increased risk of developing oral cancer
