Oropharyngeal Disorders

Infectious / Inflammatory Disorders

Apthous Ulcers

Benign, non-contagious

Also known as CANKER SORE

White circular lesion in the oral cavity with surrounding erythema

Avoid ETOH and caffeine

Tx: Self resolving but can give symptomatic treatment (ex. Magic Mouthwash)

Candidiasis

Seen in immunocompromised patients or inhaler uses

Dx: White plaques that CAN be scraped off leaving raw red surface

Prevention: Wash mouth out after inhaler use for asthmatics

Epiglottitis

S.A.S. (Sick as Shit) patient

MCC = H. Influenza

DDD = Dysphagia, Drooling, Distressed

***THUMBPRINT SIGN***

Tx: Airway management & Antibiotics

Laryngitis

Trauma vs Infection (Viral)

Hoarseness

Tx: Symptomatic

RED FLAGS: 

  1. +cough
  2. +hemoptysis
  3. > 3 weeks

Herpes Simplex

Gingivostomatitis vs Pharyngotonsilitis

Tx: Self limiting

Peritonsillar Abscess

Triad:  

  1. Trismus (difficulty opening mouth)
  2. Uvula Deviation (caused by abscess pushing it over)
  3. **HOT POTATO VOICE**

Tx: Antibiotics + I&D

Pharyngitis

KNOW THE CENTOR SCORE

***Sore Throat + L.E.A.F. **

Lymphandenopathy

Exudates (on tonsils)

Absence of cough

Fever

 

Complications include: Scarlet fever, Rheumatic Fever, Glomerulonephritis

Salivary Disorders

Sialadenitis

BACTERIAL INFECTION of salivary glands

MCC = Staph Aureus

Tender gland, swollen, +drainage when massaged

Tx: Antibiotics and lozenges

Parotitis

Inflammation of parotid glands (usually bilateral involvement)

Viral MCC (Mumps usually on differential)

Tx: Symptomatic

Other Pharyngeal Disorders

Leukoplakia

White plaques in the oral cavity that CANNOT be scraped off

Worrisome for pre-malignancy

TEST YOUR KNOWLEDGE NOW

For additional questions and explanations click below!

Disclaimer: There are tons of products and services on the web that relate to medicine. On this website, my focus is to only promote those products or services that I find true value in to make you a better medical professional. The PA School Prescription is a participant in the Amazon Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to amazon.com. I have not been given any free products to advertise on the site and the products I am recommending are the only resources I see value in. If you have any questions or concerns, please don’t hesitate to contact me!

Let me help you make the journey through PA school as stress-free as possible!