Tongue diagnoses: Difference between revisions

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*[[Tongue Laceration]]
*[[Tongue Laceration]]
*[[Strawberry Tongue]]
*[[Strawberry Tongue]]
 
*[[Black Hairy Tongue]]
== [[Black Hairy Tongue]] ==
*Benign reactive process
*Hyperplasia and increased pigmentation of filiform papille
*Smoking, GERD, Abx, poor hygiene predispose
*Treat with improved oral hygiene, gentle brushing, and a reducing pigment intake


== [[Oral Thrush]] ==
== [[Oral Thrush]] ==

Revision as of 01:50, 3 April 2014

Differential Diagnosis

Oral Thrush

  • Candidal infection
  • White curd-like plaques, easily removable with erythematous base
  • Usually painless
  • Risk Factors:
    • Extremes of age
    • Abx
    • Immunocompromise (AIDS, immunosuppressants)
  • Treatment
    • Nystatin oral suspension 500,000 units (swish and swallow) QID OR
    • Clotrimazole 10mg troches 5x per day OR
    • Fluconazole, 100mg PO

Tongue Swelling

  • Differential includes trauma, angioedema, other conditions listed
  • Angioedema is true emergency, suggested by face,lip, and tongue swelling
    • Hereditary,allergic (ACE), or idiopathic

See Also

Diagnoses by Body Part (Main)