Throat + Mouth Flashcards
What are sore throat red flags?
Agranulocytosis
Stevens Johnson syndrome
Trismus
What is trismus?
Spasm of pterygoid muscles preventing opening of mouth
Seen in quinsy
What is peritonsillar cellulitis?
Presuppurative stage of quinsy
Ipsilateral ear pain, pain on movement of neck (due to lymphadenopathy), uvula pushed to one side
Steven johnsons syndrome - presentation + causes
Vesiculobullous lesions and erosions on mucous membranes associated with erythema multiforme
2x more common in males
Causes: allopurinol, mycoplasma, HSV, abx and anti-convulsants
Non ENT causes of sore throat
Angina
Reflux (sore throat and persistent cough, may have pharyngitis)
What is epiglottitis caused by + presentation
Caused by H influenza
High fever + sore throat then stridor and muffled voice
Sit up right and lean forward
What is Croup?
Laryngotracheobronchitis
Fever, painful barking cough, stridor
Presentation of Bacterial tracheitis
Stridor, hoarse voice, cough, high fever, toxic ill looking child without swallowing difficulties
Pathology of trigeminal neuralgia
Pain in branches of 5th CN
Caused by vascular compression of nerve
Management of trigeminal neuralgia
Carbamazepine
Neuro referral
Management of epiglottitis
Manage airway
Dexamethasone treatment
What type of cancer is most common in oral cavity?
SCC
What tumours metastasize to the oral cavity?
Breast, lung, kidney + adrenals
RF for oral cancer
Smoking/ chewing tobacco Heavy alcohol use Poor dentition Oral sex - HPV Plummer-Vinson syndrome
S+S of tongue cancer
Lesions on tongue
Speech/ swallowing dysfunction
Pain when tumour involves lingual nerve - may be referred to ear
