Tongue diagnoses: Difference between revisions
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**Peridex mouth wash to prevent infection | **Peridex mouth wash to prevent infection | ||
**If the tip is not repaired, a forked tongue may result | **If the tip is not repaired, a forked tongue may result | ||
== Strawberry Tongue == | == Strawberry Tongue == | ||
*Hypertrophied lingual papillae,initially with white exudate | *Hypertrophied lingual papillae,initially with white exudate | ||
*Ass'd with scarlet fever and Kawasaki's disease | *Ass'd with scarlet fever and Kawasaki's disease | ||
== Black Hairy Tongue == | == Black Hairy Tongue == | ||
| Line 19: | Line 17: | ||
*Smoking, GERD, Abx, poor hygiene predispose | *Smoking, GERD, Abx, poor hygiene predispose | ||
*Treat with improved oral hygiene, gentle brushing, and a reducing pigment intake | *Treat with improved oral hygiene, gentle brushing, and a reducing pigment intake | ||
== Oral Thrush == | == Oral Thrush == | ||
*Candidal infection | *Candidal infection | ||
*White curd-like plaques, easily removable | *White curd-like plaques, easily removable with erythematous base | ||
*Usually painless | *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 == | == Tongue Swelling == | ||
Revision as of 10:14, 21 November 2011
Tongue Laceration
- Secondary to tongue biting
- Serious injuries can cause hemorrhage and potential airway compromise
- Do not need primary repair unless >1 cm in length,widely gaping,involving tip, or large hemorrhage
- Use absorbable sutures
- Anesthesia of the anterior 2/3 of the tongue is obtained through an inf. alveolar block
- Peridex mouth wash to prevent infection
- If the tip is not repaired, a forked tongue may result
Strawberry Tongue
- Hypertrophied lingual papillae,initially with white exudate
- Ass'd with scarlet fever and Kawasaki's disease
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
- 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