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Box 1: Findings on examination of oral cavity Lips (upper and decrease): Swellings, growths, vesicles, ulcers, crusts, scars, unilateral or bilateral clefts Buccal mucosa: Change in shade, ulceration, vesicles or bullae (pemphigus), white stria (lichen planus), blanched look with submucosal fbrous bands (submucous fbrosis), leukoplakia, erythroplakia, pigmentation, atrophic change in mucosa, swelling or progress Opening of parotid duct: Red, swollen, secretions (viral or suppurative parotitis) Gums (higher and lower jaws): Red and swollen gums (gingivitis), ulcerated gums covered with membrane (viral ulcers or Vincent's an infection), hyperplasia (being pregnant or dilantin remedy), growths (benign or malignant neoplasms of maxilla or mandible), periodontitis Teeth: Number, tartar, free teeth, carious, malocclusion (fractures of mandible or maxilla, abnormalities of temporomandibular joint), impacted final molar Hard palate: Cleft palate, oronasal fstula (trauma or syphilis), excessive arched palate (mouth breathing in adenoids), swelling (tumors of palate and nostril), bony growth in midline of exhausting palate (torus palatinus), ulcers/growths (benign or malignant) Tongue: Macroglossia (hemangioma, lymphangioma, cretinism, edema or abscess), ankyloglossia (congenital tongue tie, most cancers tongue or foor of mouth, painful ulcer, abscess), deviation on protrusion (hypoglossal paralysis on the facet of deviation), bald or clean tongue (iron defciency anemia, median rhomboid glossitis, geographical tongue), fssures (Melkersson's syndrome, syphilis), ulcers (aphthous, traumatic because of jagged tooth or denture, malignant, syphilitic or tubercular), pink/white lesions (leukoplakia, erythroplakia), proliferative growth (malignancy) Floor of mouth: Short frenulum (tongue-tie), scar (trauma or corrosive burn), ulcer (trauma, erosion of submandibular duct stone, aphthous ulcer, malignancy), swelling (ranula, sublingual dermoid, calculus of submandibular duct, benign or malignant tumors, Ludwig's angina) Opening of submandibular duct: Red, swollen, secretions 1 L treatment toenail fungus buy paxil 30mg on-line.
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