Tongue diagnoses: Difference between revisions

Revision as of 11:30, 21 November 2011

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
- Chlorhexidinemouth wash to prevent infection

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

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

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

Authors:

@@ Line 2: / Line 2: @@
 *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
+*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
+**Anesthesia of the anterior 2/3 of the tongue is obtained through an inf alveolar block
-**Peridex mouth wash to prevent infection
+**Chlorhexidinemouth wash to prevent infection
-**If the tip is not repaired, a forked tongue may result
 == Strawberry Tongue ==