Tongue diagnoses: Difference between revisions

Latest revision as of 22:07, 13 November 2024

Background

Tongue anatomy.

Neck anatomy at the level of the tongue.

Blood supply of the tongue.

Anatomy of the posterior pharynx.

Neck anatomy at the level of the tongue.

Clinical Features

Mouth images

Differential Diagnosis

Tongue diagnoses

Tongue laceration
Strawberry tongue
Black hairy tongue
Oropharyngeal candidiasis (oral thrush)
Hairy Oral Leukoplakia
Tongue swelling
- Trauma
- Angioedema
  - Hereditary
  - Allergic (ACE)
  - Idiopathic

Evaluation

Management

Disposition

External Links

References

Authors:

@@ Line 1: / Line 1: @@
-== Tongue Laceration ==
+==Background==
-*Secondary to tongue biting
+[[File:Tongue.png|thumb|Tongue anatomy.]]
-*Serious injuries can cause hemorrhage and potential airway compromise
+[[File:EB1911 - Tongue.png|thumb|Neck anatomy at the level of the tongue.]]
-*Do not need primary repair unless >1 cm in length,widely gaping,involving tip, or large hemorrhage
+[[File:Gray559.png|thumb|Blood supply of the tongue.]]
-**Use absorbable sutures
+[[File:Gray1014.png|thumb|Anatomy of the posterior pharynx.]]
-**Anesthesia of the anterior 2/3 of the tongue is obtained through an inf. alveolar block
+[[File:EB1911 - Tongue.png|thumb|Neck anatomy at the level of the tongue.]]
-**Peridex mouth wash to prevent infection
-**If the tip is not repaired, a forked tongue may result
+==Clinical Features==
+{{Mouth images}}
-== Strawberry Tongue ==
+==Differential Diagnosis==
-*Hypertrophied lingual papillae,initially with white exudate
+{{Tongue DDX}}
-*Ass'd with scarlet fever and Kawasaki's disease
+==Evaluation==
-== Black Hairy Tongue ==
+==Management==
-*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
+==Disposition==
-== Oral Thrush ==
+==See Also==
-*Candidal infection
+*[[Diagnoses by Body Part (Main)]]
-*White curd-like plaques, easily removable, with erythematous base
+*[[Oropharynx and jaw diagnoses]]
-*Usually painless
-*Steroids, Abx, radiation, immunodeficiency  predispose
-*Rx with nystatin, topical analgesia
+==External Links==
-== Tongue Swelling ==
+==References==
-*Differential includes trauma, angioedema, other conditions listed
-*Angioedema is true emergency, suggested by face,lip, and tongue swelling
-**Hereditary,allergic (ACE), or idiopathic
 [[Category:ENT]]
+[[Category:Symptoms]]