{"id":419,"date":"2010-12-02T14:10:06","date_gmt":"2010-12-02T14:10:06","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/the-mouth-and-the-oropharynx\/"},"modified":"2023-01-11T22:31:16","modified_gmt":"2023-01-11T22:31:16","slug":"the-mouth-and-the-oropharynx","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/the-examination-of-the-ear-nose-mouth-throat-and-neck\/the-mouth-and-the-oropharynx\/the-mouth-and-the-oropharynx\/","title":{"rendered":"The mouth and the oropharynx"},"content":{"rendered":"<p>Symptoms involving the oral cavity or the oropharynx are not the only reason to examine these structures. Symptoms relating to the nose always require examination of the oropharynx. Symptoms in this area may involve inflammation as well as abnormal swellings (possibly bleeding), wounds or problems with production or drainage of saliva.<br \/>\nThe presenting symptom and its location sometimes gives a clue as to where you should focus your examination. This also determines what you ask about during the history-taking.<\/p>\n<p>What is your prediagnosis?<\/p>\n<p><strong><span style=\"color: #993366;\"><em>Prediagnosis<\/em><\/span><\/strong><br \/>\n<span style=\"color: #993366;\">Congenital abnormalities<\/span><br \/>\n<span style=\"color: #993366;\">Inflammation<\/span><br \/>\n<span style=\"color: #993366;\">Tumours<\/span><br \/>\n<span style=\"color: #993366;\">Vascular problems<\/span><br \/>\n<span style=\"color: #993366;\">Trauma<\/span><br \/>\n<span style=\"color: #993366;\">Degenerative conditions<\/span> <span style=\"color: #993366;\">involving the:<\/span><br \/>\n<span style=\"color: #993366;\"><em>&#8211; lips<\/em><\/span><br \/>\n<span style=\"color: #993366;\"><em>&#8211; mandibula<\/em><\/span><br \/>\n<span style=\"color: #993366;\"><em>&#8211; maxilla<\/em><\/span><br \/>\n<span style=\"color: #993366;\"><em>&#8211; floor of the mouth<\/em><\/span><br \/>\n<span style=\"color: #993366;\"><em>&#8211; cheek mucosa + parotid gland<\/em><\/span><br \/>\n<span style=\"color: #993366;\"><em>&#8211; tongue<\/em><\/span><br \/>\n<span style=\"color: #993366;\"><em>&#8211; teeth<\/em><\/span><br \/>\n<span style=\"color: #993366;\"><em>&#8211; palate<\/em><\/span><br \/>\n<span style=\"color: #993366;\"><em>&#8211; uvula<\/em><\/span><br \/>\n<span style=\"color: #993366;\"><em>&#8211; pharyngeal arches<\/em><\/span><br \/>\n<span style=\"color: #993366;\"><em>&#8211; posterior pharyngeal wall<\/em><\/span><br \/>\n<span style=\"color: #993366;\"><em>&#8211; tonsillar fossae and tonsils<\/em><\/span><br \/>\n<span style=\"color: #993366;\"><em>&#8211; Waldeyer\u2019s tonsillar ring<\/em><\/span><br \/>\n<span style=\"color: #993366;\">Obstruction<\/span> <span style=\"color: #993366;\">of the:<\/span><br \/>\n<span style=\"color: #993366;\"><em>&#8211; floor of mouth (salivary glands!)<\/em><\/span><br \/>\n<span style=\"color: #993366;\"><em>&#8211; pharyngeal arches<\/em><\/span><br \/>\n<span style=\"color: #993366;\">Allergy<\/span><\/p>\n<p>Questions that can be important in relation to disorders of the mouth and the oropharynx, include the following:<\/p>\n<ul>\n<li>What is the precise nature of the complaint?<\/li>\n<li>Ask if there is any pain, and if so, where and when exactly it hurts<\/li>\n<li>Fever and feeling unwell, and if so, since when<\/li>\n<li>Are there are any people in the patient\u2019s social network who have the same symptoms?<\/li>\n<li>Are there any problems swallowing?<\/li>\n<li>Does the patient smoke?<\/li>\n<li>What is the patient\u2019s alcohol consumption?<\/li>\n<li>Does the patient visit the dentist on a regular basis and do they brush their teeth?<\/li>\n<li>Is the saliva production normal?<\/li>\n<li>Can they drink fluids?<\/li>\n<li>Is there any weight loss?<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Symptoms involving the oral cavity or the oropharynx are not the only reason to examine these structures. Symptoms relating to the nose always require examination of the oropharynx. Symptoms in this area may involve inflammation as well as abnormal swellings (possibly bleeding), wounds or problems with production or drainage of saliva. The presenting symptom and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[40],"tags":[132],"class_list":["post-419","post","type-post","status-publish","format-standard","hentry","category-the-mouth-and-the-oropharynx","tag-the-examination-of-the-ear-nose-mouth-throat-and-neck"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The mouth and the oropharynx - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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