Oropharnygeal and Laryngeal Disorders Flashcards
Where do branchiogenic cysts open into?
tonsillar fossa
Patient presents with a midline mass on their neck. You ask them to swallow and observe that it moves. What will this require?
This is a thyroglossal duct cyst and will require removal. You will want to do a U/S to confirm, and ID the tract. They commonly present before age 20.
What is the occlusion of a minor salivary gland?
mucoele. they can present anywhere along the mucosa. Drainage and excision is needed.
patient presents with a mass on the floor of their mouth. an U/S reveals that it plunges deep into the neck. what is it most likely?
ranula, surgival removal is needed.
Patient presents to clinic with difficulty swallowing and painful swallowing. When you try to examine their mouth, they have difficulty opening their jaw. Eventually, you can see a deviated uvula. There is unilateral swelling. If you order a CBC, what will you see?
This is peritonsillar abscess. WBC, they usually have a fever. usually preceded by step A tonsillitis infection.
Patient presents to clinic with difficulty swallowing and painful swallowing. When you try to examine their mouth, they have difficulty opening their jaw. Eventually, you can see a deviated uvula. There is unilateral swelling. What should your treatment be?
MEDICAL EMERGENCY!! REFER. hospitalization antibiotics or aspiration(which should be referred)
What is the main organism involved in mono?
epstein barr virus
How can you confirm mono?
monospot, which may take several days to elevate. Also there will be an elevated AST/ALT (a liver function test)
What are the signs/symptoms of mono?
EGV, males:females, sore throat, fever, and malaise. Atypical lymphs, elevated AST/ALT, monospot.
You look in the mouth and see intranuclear lesions. There are vessicles with an ulcerated rim. What is this?
HSV (usually type I)
Upon examination of a child’s mouth, you see small lesions less than 1 cm that have a erythematous ring, and a yellow/gray base. What is a risk factor for this?
these are aphthous stomatitis. a risk factor is familly history.
Upon examination of a child’s mouth, you see small lesions less than 1 cm that have a erythematous ring, and a yellow/gray base. The patient is worried about pain, how long do you tell them this will last? Will it happen again?
usually lasts around 7-10 days. They usually occur 3-6 times a year (there are both minor and major) You can prescribe corticosteroids to provide some relief. Most common during early adolesence and lasts for several years.
Upon examination of a child’s mouth, you see small lesions less than 1 cm that have a erythematous ring, and a yellow/gray base. What is the predicted pathogeneisis for this?
T cell mediated response.
Upon examination of a child’s mouth, you see small lesions less than 1 cm that have a erythematous ring, and a yellow/gray base. Where do you normally see these?
non-keratinized surfaces.
Upon examination of a child’s mouth, you see small lesions less than 1 cm that have a erythematous ring, and a yellow/gray base. After giving treatment, there is no response. They may have an underlying systemic condition. What might that be?
Behcet’s, celiac disease, nutritional deficiences, erythema multiforme (there will be 100’s that appear in the mouth), and toothpastes.
Patient comes in with mouth discomfort. They have recently been treated for a systemic illness with immunosuppresives. When you see in their mouth, there is white, cottage-cheese like exudates on tongue and back of throat. What is your next step?
See if you can wipe it off with a tongue blade. If it wipes off–> candidas. If not–> think leukoplakia.
