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Similar to examination of swelling and ulcer oral medicine by channu m g
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examination of swelling and ulcer oral medicine by channu m g
- 1. GOOD MORNING
- 2. DEPARTMENT OF ORAL MEDICINE EXAMINATION OF SWEELING AND ULCER CHENNABASAV M G III BDS SJMDC&H CHITRADURGA
- 3. SWELLING “Any enlargement or protuberance in the body due to any cause”
- 5. Types of swelling According to the cause - - Traumatic - Inflammatory - Neoplastic
- 6. Local Examination of swelling – We should proceed as B. Palpation C. Percussion D. Auscultation E. Examination of pressure effect
- 7. A. Inspection 1. Site/ location- Idea about its origin 2. Colour –Black, Red/purple, Bluish 3. Shape 4. Size 6. Pulsation
- 8. 7. Movement on deglutition 8. Movement with protrusion of tongue 9. Skin over swelling – Red & edematous, tense and glossy
- 9. B. Palpation 2. Tenderness 3. Size shape & extent 4. Consistency 5. Fluctuation- liquid or gas containing
- 11. 5. Translucency 6. Reducibility 7. Fixity to overlying skin 8. Relation to surrounding structures
- 12. C. Percussion • To find out gaseous content of the swelling. Eg: resonant note in hernia. Hydatid thrill- 3 fingers test
- 13. D. Auscultation • All pulsatile swelling should be auscultated to hear any bruits
- 14. E. Examination of pressure effect 1. Artery 2. Nerve 3. Bone
- 15. ULCER
- 16. ULCER • A break in the epithelial continuity or Discontinuity of the skin or mucous membrane which occurs due to the microscopic death of the tissues
- 19. CLIINICAL • Spreading : (Edge - Inflamed & Edematous) : (Edge is sloping with healthy red granulation tissue & serous discharge) • Callous : (Floor contains pale unhealthy granulation tissue with indurated edge)
- 20. PATHOLOGICAL 1. Nonspecific 2. Specific 3. Malignant
- 21. NON SPECIFIC • Traumatic Ulcer • Arterial Ulcer • Venous Ulcer • Neurogenic Ulcer • Infective Ulcer
- 22. SPECIFIC • Tuberculosis • Syphilis • Actinomycosis • Meleney’s ulcer • Soft sore
- 23. MALIIGNANT • Squamous cell carcinoma • Basal cell carcinoma • Malignant melanoma
- 24. HISTORY • Mode of onset • Duration • Pain • Discharge • Associated disease
- 25. PHYSICAL EXAMINATION General survey • Inspection • Palpation • Examination of lymph nodes • Vascular insufficiency • Nerve lesions
- 26. INSPECTION • SIZE AND SHAPE • NUMBER • POSITION • EDGE • FLOOR • DISCHARGE • SURROUNDING AREA
- 28. EDGE • Definition; This is between the floor of the ulcer and the margin. The margin is the junction between the normal epithelium and
- 34. These are the part of the ulcer which is exposed or seen.
- 35. DISCHARGE FROM THE ULCER
- 36. SURROUNDING AREA
- 37. PALPATION • EDGE AND MARGIN • BASE • INDURATION • BLEEDING • RELATIONS WITH DEEPER STRUCTURES • SURROUNDING SKIN
- 38. BASE • It is the area on which ulcer rests. • Marked induration at the base is diagnostic of squamous cell carcinoma. • It is said to be a host defense mechanism.
- 39. induration • The edge, base and the surrounding area should be examined for induration
- 40. BLEEDING Malignant ulcer is friable like a cauliflower. On gentle palpation, it bleeds. Granulation tissue as in a healing ulcer also causes bleeding.
- 41. SURROUNDING AREA • Thickening and induration is found in squamous cell carcinoma. • Tenderness and pitting on pressure indicates spreading inflammation surrounding the ulcer.
- 43. REFERANCE • TEXT BOOK OF CLINICAL MEDICINE ; - DR.S N CHUGH • ORAL AND MAXILLOFACIAL SURGERY ;- S DAS
- 44. THANK YOU!!!