Oropharyngeal Flashcards
what is also called canker sores and is the most common cause of oral ulcers?
aphthous ulcer
patient presents with a painful, localized, shallow, round to oval ulcer with a yellowish adherent exudate centrally. what are they experiencing?
aphthous ulcer
what is the course of an aphthous ulcer?
heals within 10-14 days without scarring
what are 3 treatments for an aphthous ulcer?
- kenalong orobase
- sucralfate suspension
- oragel
a disorder also called thrush that is a common infection in young infants, denture-wearers, and patients who are immunodeficient
candidiasis
what is the etiology of candidiasis?
fungus
what is the most common form of thrush that presents as white plaques on the buccal mucosa, palate, tongue, or oropharynx?
pseudomembranous
what is the form of candidiasis that is found under dentures and presents with erythema without plaques?
atrophic
a patient has a beefy red tongue and soreness, with angular cheilitis, a painful fissuring at the corners of the mouth, which is also seen in vitamin B deficiency. what are they experiencing?
candidiasis
how do diagnose a patient with candidiasis?
scrape white patches and do KOH prep
what does a KOH prep of scraped white patches show?
budding yeast
what 3 topical therapies are effective in non-immunosuppressed patients with candidiasis?
- clotrimazole troche
- miconazole tablets
- nystatin suspension
how long should a patient with candidiasis be treated with antibiotics?
7-14 days
what diagnostics should be done for a patient with recurrent or extensive candidiasis?
evaluate immune status and test for HIV
inflammation of a salivary gland due to an obstructive, infectious, or inflammatory etiology
sialadenitis
in which 2 salivary glands does sialadenitis mainly occur?
- parotid
- submandibular
what are 3 things that can lead to sialadenitis?
- dehydration
- chronic illness
- poor oral hygiene
what is the most common organism (etiology) of sialadenitis?
staph aureus
a patient presents with a tender, swollen gland that is exacerbated with meals, red ductal opening that may express pus, erythema/edema of overlying skin, trismus, may have a protruded auricle. what are they experiencing?
sialadenitis
if a patients auricle is protruding, what kind of sialadenitis do they have?
parotid sialadenitis
what 2 diagnostics can be ordered for a patient with sialadenitis?
CT or US
what should I do for a patient with sialadenitis?
refer to ENT
what are 5 ways to treat the underlying disorder that ENT can do for a patient with sialadenitis?
- rehydrate
- antibiotics
- sialagogues - sour drops
- massage
- I&D