H&N 9.1 Oral cavity and tongue. Flashcards Preview

Skye's ESA 4 > H&N 9.1 Oral cavity and tongue. > Flashcards

Flashcards in H&N 9.1 Oral cavity and tongue. Deck (44)
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31

How does the submandibular gland secrete into the oral cavity?

Via Whartons duct, which opens underneath the tongue.

32

How does the sublingual gland secrete into the oral cavity?

Via many different ducts into the base of the mouth

33

Which salivary glands are most likely to form stones and why?

Submandibular, because they produce thicker saliva (serous and mucus, as opposed to parotid whihc produces only serous saliva)

34

How would a salivary stone present?

pain and/or swelling at meal times (When saliva gets produced more)

May be able to see a whartons duct stone

35

How are salivary stones treated?

-small ones may resolve on their own

-larger ones will need surgical removal

36

What tissues make up Waldeyer's ring?

adenoid
palatine tonsil
lingual tonsil

All made of lymphoid tissue

37

What is tonsilitis?

Inflammation of the palatine tonsil
(known by lay people simply as 'tonsil')

38

What signs/symptoms are associated with tonsilits?

-enlarged tonsils
-erythematous
-oodynophagia (pain)
-dysphagia (difficulty)
-exudate
-fever
-dry cough
-lymphadenopathy

39

What commonly causes tonsillitis?

usually due to infection:

Viral- rhinovirus, adenovirus

Bacterial- beta-haemolytic strep.

40

What are some features of viral tonsilitis?

-a dry cough
-symptoms of URTI (rhinnorrhoea, congestion, sore throat, headache)

41

What are some features of bacterial tonsilitis?

-exudate on tonsils
-cervical lymphadenopathy
-fever
-absence of a cough

42

What is a severe complication of tonsilitis?
What causes this?

Peritonsilar abscess- Quinsy.
Usually strep pyrogens.

43

What are some signs/symptoms of a quinsy?

-deviated uvula (because unilateral)
-loss of palatoglossal arch
-systemically unwell
-hot potato voice
-drooling

44

What actions do you take if you discover someone with quinsy?

Immediate same day referral to ENT.
Need drainage of the absess immediately by a specialist (lots of nerves running close by)

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