ENT IMP POINTS TO DIAGNOSE SCENARIOS
BY MARYAM MALIK

(RAWALPINDI MEDICAL COLLEGE
PUBLICATION DEPT-RIFAO)

ENT Important Points for 4th Year MBBS Students to Diagnose Scenarios (PDF)

ORAL CAVITY 1. APHTHOUS ULCERS : involve moveable mucosa i-e- buccal, tongue, soft palate but NOT hard palate & gingivae, central necrotic area, red halo, frequent recurrence, no constitutional symptoms (fever,malaise,lymphadenopathy) 2. VIRAL ULCERS : constitutional symptoms (fever,malaise,lymphadenopathy), lesions can be seen on any area including hard palate & gingivae
3. CHRONIC ULCERS= TB,Syphilis,actinomycosis
4. MONALIASIS (CANDIDIASIS) = white grey patches when wiped off leave erythematous mucosa or cannot be wiped off, infants,children,immunocompromised adults, topical application of nystatin/clotrimazole 5. BEHCET SYNDROME (OCULO-ORO-GENITAL SYNDROME) : aphthous like ulcers + genital ulceration + uveitis, punched out ulcer

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