Stomatitis physical examination
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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.