Stomatitis physical examination: Difference between revisions
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A comprehensive physical exam has great significance in the diagnosis of stomatitis. The exam findings may include<ref name="pmid16451405">{{cite journal| author=Kolokotronis A, Doumas S| title=Herpes simplex virus infection, with particular reference to the progression and complications of primary herpetic gingivostomatitis. | journal=Clin Microbiol Infect | year= 2006 | volume= 12 | issue= 3 | pages= 202-11 | pmid=16451405 | doi=10.1111/j.1469-0691.2005.01336.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16451405 }} </ref> | A comprehensive physical exam has great significance in the diagnosis of stomatitis. The exam findings may include<ref name="pmid16451405">{{cite journal| author=Kolokotronis A, Doumas S| title=Herpes simplex virus infection, with particular reference to the progression and complications of primary herpetic gingivostomatitis. | journal=Clin Microbiol Infect | year= 2006 | volume= 12 | issue= 3 | pages= 202-11 | pmid=16451405 | doi=10.1111/j.1469-0691.2005.01336.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16451405 }} </ref> | ||
===Appearance=== | |||
* | *The patient of stomatitis is usually not in distress | ||
*Halitosis | *Halitosis | ||
===Vitals=== | |||
*Normal blood pressure | |||
*Fever (in case of infectious stomatitis) | |||
===Cardiovascular=== | |||
*S1: normal | |||
*S2: normal | |||
*Tachycardia (secondary to infection) | |||
===HEENT=== | |||
*Neck Tenderness | |||
*Palpable lymph nodes | |||
*Vesicles or ulcers on the tongue | *Vesicles or ulcers on the tongue | ||
*Vesicles or ulcers on the soft or the hard palate | *Vesicles or ulcers on the soft or the hard palate | ||
*Whitish areas on the buccal mucosa | *Whitish areas on the buccal mucosa | ||
*Oral pin-head vesicles | |||
*Oral mucosal ulcers | |||
*Submandibular lymphadenitis | |||
===Dermatological=== | |||
*Rash in case of diffuse allergic reaction | |||
===Gastrointestinal=== | |||
*Abnormal bowel sounds (with baseline [[IBD]]) | |||
==References== | ==References== | ||
Revision as of 19:12, 8 March 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]
Overview
A thorough history and physical exam are a necessary for a detailed understanding and diagnosis of stomatitis. The diagnosis of stomatitis is mostly clinical. The location and features of the ulcers are also important findings in this regard.
Physical examination
A comprehensive physical exam has great significance in the diagnosis of stomatitis. The exam findings may include[1]
Appearance
- The patient of stomatitis is usually not in distress
- Halitosis
Vitals
- Normal blood pressure
- Fever (in case of infectious stomatitis)
Cardiovascular
- S1: normal
- S2: normal
- Tachycardia (secondary to infection)
HEENT
- Neck Tenderness
- Palpable lymph nodes
- Vesicles or ulcers on the tongue
- Vesicles or ulcers on the soft or the hard palate
- Whitish areas on the buccal mucosa
- Oral pin-head vesicles
- Oral mucosal ulcers
- Submandibular lymphadenitis
Dermatological
- Rash in case of diffuse allergic reaction
Gastrointestinal
- Abnormal bowel sounds (with baseline IBD)
References
- ↑ Kolokotronis A, Doumas S (2006). "Herpes simplex virus infection, with particular reference to the progression and complications of primary herpetic gingivostomatitis". Clin Microbiol Infect. 12 (3): 202–11. doi:10.1111/j.1469-0691.2005.01336.x. PMID 16451405.