Tongue diagnoses: Difference between revisions

Revision as of 01:46, 3 April 2014

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

@@ Line 1: / Line 1: @@
-== [[Tongue Laceration]] ==
+*[[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
-**Chlorhexidinemouth wash to prevent infection
 == [[Strawberry Tongue]] ==