Có 10+ tài liệu thuộc chủ đề "bệnh học và điềChapter 032. Oral Manifestations of Disease (Part 1) Harrison's Internal Medicine Chapter 32.u trị"
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As primary care physicians and consultants, internists are often asked to evaluate patients with disease of the oral soft tissues, teeth, and pharynx.. Knowledge of the oral milieu and its unique structures is necessary to guide preventive services and recognize oral manifestations of local or systemic disease (Chap. Diseases of the Teeth and Periodontal Structures. Tooth development begins in utero...
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Periodontal Disease. Like dental caries, chronic infection of the gingiva and anchoring structures of the tooth begins with formation of bacterial plaque. Left undisturbed, chronic inflammation ensues and produces a painless hyperemia of the free and attached gingivae (gingivitis) that typically bleeds with brushing. If ignored, severe periodontitis occurs, leading to deepening of the physiologic sulcus and destruction of the...
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Diseases of the Oral Mucosa. Table 32-1 Vesicular, Bullous, or Ulcerative Lesions of the Oral Mucosa. Lip and oral mucosa (buccal, gingival, lingual mucosa). Lasts about 1 week, but condition may be prolonged if secondarily infected.. Gingiva and oral mucosa. may be. accompanied by small vesicles on oral mucosa that rupture to form shallow ulcers;. Oral mucosa Fatigue, sore throat,...
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Pigmented Lesions. See Table 32-2.. Table 32-2 Pigmented Lesions of the Oral Mucosa. Any area of the mouth. brown to black macule growth. Diffuse pale to dark-brown. may be physiologic ("racial") or due to smoking. Nevi Any area. of the mouth. localized, brown to black pigmentation. Can be flat and diffuse, painless, brown to black, or can be raised and...
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Table 32-3 White Lesions of Oral Mucosa. responds to topical. in mouth. purplish papules on skin. Oral mucosa, vagina, anal mucosa. Painless white thickening of epithelium;. Any area of oral mucosa, sometimes related to location of habit. White patch that may become firm, rough, or red-fissured and ulcerated. may become sore and painful but usually painless. May or may not...
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Diseases of the Tongue. See Table 32-4.. Table 32-4 Alterations of the Tongue. Macroglossia Enlarged tongue that may be part of a syndrome. found in developmental conditions such as Down syndrome, Simpson-Golabi-Behmel syndrome, or Beckwith-Wiedemann syndrome may be due to tumor (hemangioma or lymphangioma), metabolic disease (such as primary amyloidosis), or endocrine disturbance (such as acromegaly or cretinism). Dorsal surface...
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Ulceration is the most common oral mucosal lesion. Most acute ulcers are painful and self-limited. Recurrent aphthous ulcers and herpes simplex infection constitute the majority. Persistent and deep aphthous ulcers can be idiopathic or seen with HIV/AIDS. Aphthous lesions are often the presenting symptom in Behçet's syndrome (Chap. may occur with Reiter's syndrome, and aphthous ulcers are occasionally present during...
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Trigeminal neuralgia (tic douloureaux) may involve the entire branch or part of the mandibular or maxillary branches of the fifth cranial nerve and produce pain in one or a few teeth. Glossopharyngeal neuralgia produces similar acute neuropathic symptoms in the distribution of the ninth cranial nerve. Swallowing, sneezing, coughing, or pressure on the tragus of the ear triggers pain that...
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Dental Care of Medically Complex Patients. Routine dental care (e.g., extraction, scaling and cleaning, tooth restoration, and root canal) is remarkably safe. The most common concerns regarding care of dental patients with medical disease are fear of excessive bleeding for patients on anticoagulants, infection of the heart valves and prosthetic devices from hematogenous seeding of oral flora, and cardiovascular complications...
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Aging and Oral Health. While tooth loss and dental disease are not normal consequences of aging, a complex array of structural and functional changes occurs with age that can affect oral health.. Poor oral hygiene often results when vision fails or when patients lose manual dexterity and upper extremity flexibility. This is particularly common for nursing home residents and must...