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:

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-== 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.]]
-**Chlorhexidinemouth wash to prevent infection
-== Strawberry Tongue ==
+==Clinical Features==
-*Hypertrophied lingual papillae,initially with white exudate
+{{Mouth images}}
-*Ass'd with scarlet fever and Kawasaki's disease
-== Black Hairy Tongue ==
+==Differential Diagnosis==
-*Benign reactive process
+{{Tongue DDX}}
-*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 ==
+==Evaluation==
-*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 ==
+==Management==
-*Differential includes trauma, [[Angioedema (Upper Airway)|angioedema]], other conditions listed
-*[[Angioedema (Upper Airway)|Angioedema]] is true emergency, suggested by face,lip, and tongue swelling
-**Hereditary,allergic (ACE), or idiopathic
+==Disposition==
+==See Also==
+*[[Diagnoses by Body Part (Main)]]
+*[[Oropharynx and jaw diagnoses]]
+==External Links==
+==References==
 [[Category:ENT]]
+[[Category:Symptoms]]