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Upper GI
problems
Question | Answer |
---|---|
meds that cause dry mouth | diuretics, antiHTN, anti-inflammatory agents, antidepressants |
herpes simplex 1 and tx | coldsore or fever blister--tx: acyclovir, valtrex, vinegar, analgesic prn |
stomatitis and tx | canker sore--shallow ulcer with white or gray center & red border, lasts 7-10 days--tx: gd oral care, mouthwashes, antifungals, acyclovir, antibiotics |
halitosis | foul smell |
acute necrotizing ulcerative gingivitis and causes | trench mouth--gray-white pseudomembraneous uleration, painful to talk or swallow, bleeding gums--causes: poor dental hygiene, fitting dentures, or occlusion |
oral candidiasis | thrush--yeast, cheesy white--14 day antibiotic tx |
leukoplakia | white patches--persist >2 wks--side and under tongue--smoker/AIDS pts |
TMJ | abnormal position of mandible and temporomandibular joint (clicking sound may be present)--tx:reduce grinding (mouth guard @ night), pain mgmt, reduce talkin gand eating of foods that will inc inflammation/pain, ROM exercises, surgery |
Parotitis | inflammation of parotid gland--one in each cheek over jaw in front of ears--check for bad teeth first! |
wharton's duct vs. stensens's duct | w: submandibular S: parotid duct-adjacent to 1st & 2nd molars |