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Mouth and Throat
Health Assessment
30
Nursing
Undergraduate 2
11/12/2011

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Cards

Term
oral cancer
Definition
27,700-28,000 New Cases per year
7,320 Deaths
M/F 2:1 Ratio-smoking and/or tobacco use
Early Diagnosis=85% survive 1 year after diagnosis
5 year survival=59% in general
10 year survival=44% in general
Term
oral cancer high risk sites
Definition
Floor of mouth
Ventrolateral tongue
Soft palate
Term
oral cancer risk factors
Definition
Tobacco use-cigarettes cigar, smokeless*, pipe
Excessive alcohol consumption
4x more likely-pharyngeal CA & 50x more likely CA of cheek and gums
Term
oral cancer warning signs
Definition
Sore mouth that bleeds easily (does not heal)
Lump in cheek felt with tongue
White or red patch on gums, tongue or lining of mouth
-Leukoplakia=white, raised patches (not easily removed)
-Erythroplakia=red, velvety raised patch
Soreness or feeling that something is caught in throat
Difficulty chewing/swallowing
Difficulty moving jaw/tongue
Numbness of tongue/other areas
Poor fit of dentures or discomfort
Term
dysphagia
Definition
difficulty swallowing
Term
pack years
Definition
(# of packs per day) x (years)
2 packs for 4 years
=2x4
=8 pack years
Term
salivary glans
Definition
Parotid (open by the second molar, inflamed when you have mumps), submandibular (behind mandible), and lingual (under the tongue)
Term
circumoral pallor shows...
Definition
anemia
Term
cyanotic
Definition
blue coloring
shows hypoxia
Term
cherry red coloring
Definition
aspirin overdose and carbon monoxide poisoning
Term
cheilltis
Definition
cracking at the corners of the mouth
Term
stensen's duct opening
Definition
open at second molar
duct obstructed will be red and swollen
Term
number of teeth for adult and child
Definition
adult-32 (including wisdom teeth)
child-20
Term
leukoedema
Definition
not raised, white coating on tongue, normal (you brush this off)
Term
fissure
Definition
raised line
low on B or D vitamins
Term
Wharton's ducts
Definition
little opening on the sides of the bottom of the mouth
Term
frenulum
Definition
flab of skin under the tongue that keeps tongue to the floor of the mouth
Term
lingua nigra
Definition
black on tongue-too much pepto
Term
swollen tongue
Definition
allergic reaction
Term
Cranial nerve 12
Definition
Hypoglossal
-Stick out midline with no tremors
--Usually will deviate to the side of the injury
-stick their tongue to their cheek and we push on it to check tongue strength
Term
“palatine torus” or “torus palatinus”
Definition
line down the middle where there is a ridge protruding
Term
crypts
Definition
debris on tonsils
Term
Cranial nerve 9 & 10
Definition
Glossopharyngeal and Vagus
-Say “Ahhh”-symmetrical rise of uvula and palatine arches & uvula stays midline
-Gag reflex (nursing judgment)-THE LAST THING TO GO AND FIRST ONE TO COME BACK!-check if they have a head injury
--Don’t check on-epileptic, someone who is nauseous, who says they gag when they brush their teeth, anyone that can swallow usually has a gag reflex. –some people have stronger ones than others
--Surgery also affects gag reflex
-Voice quality for hoarseness
-Swallowing
Term
cranial nerve 7
Definition
facial
-taste anterior 2/3 of the tongue
--salt, sweet, and sour
Term
cranial nerve 9
Definition
Glossopharyngeal
-taste posterior 1/3 of tongue
--bitter
Term
child's teeth number
Definition
-should have 20 by age 2 1/2
-under age 2: age in months minus 6-# of teeth
Term
pregnancy
Definition
pregnancy gingivitis (hypertrophy)
Term
tonsils
Definition
1+ - 2+ seen in healthy people on a 4+ scale
Term
tonsil scale
Definition
Not seen-if you can’t see them
1+-visible
2+-half way anterior pillar and uvula
3+ touching uvula
4+ touching each other
Term
aging adult
Definition
Decreased sense of taste; many dental changes; decreases saliva esp. from meds or medical conditions
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