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ABOUT THE SHOW: Want to dominate your league and get Fantasy Football bragging rights? Join host Adam Aizer, analysts Dave Richard, Jamey Eisenberg, Heath Cummings, and the rest of our crew throughout the year. Start or Sit, Waiver Wire, Buy or Sell, Grade the Trade and mailbag from your emails and #AskFFT tweets. This is the only podcast you’ll need to win your league.
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medskl.com is a global, free open access medical education (FOAMEd) project covering the fundamentals of clinical medicine with animations, lectures and concise summaries. medskl.com is working with over 170 award-winning medical school professors to provide content in 200+ clinical presentations for use in the classroom and for physician CME.

Ears, Nose, and Throat – Mouth Problems
Whiteboard Animation Transcript
with Doug Angel, MD
https://medskl.com/Module/Index/mouth-problems

Oral health is often overlooked in routine clinic visits. Signs and symptoms affecting the oral cavity can potentially indicate a serious mouth condition or can be a sign of systemic illness.
Bad breath (halitosis) is usually accompanied by other oral conditions, such as dental caries and periodontal disease. Promoting good oral hygiene practices can help alleviate halitosis in most patients.

Halitosis can also be a sign of disease process elsewhere. The two most common non-oral causes of halitosis are post-nasal drip and gastroesophageal reflux.

Pain in the oral cavity can be due to infection, inflammation, trauma, or even referred pain. The most common type of painful ulceration is an aphthous ulcer; a self-limiting condition. However, any persistent area of ulceration warrants a biopsy to rule out malignancy. Oral cancers typically present as an area of irregularity or ulceration that can be painful or painless. Referred otalgia (ear pain) is often an accompanying symptom.

Excessive salivation, or sialorrhea, in patients above the age of four can indicate an underlying pathology. These include:

Anatomic causes, such as macroglossia and dental malocclusion;

Hypersecretion secondary to reflux, inflammation, or medication;

Neuromuscular dysfunction, such as cerebral palsy and Parkinson’s disease

Dry mouth, or xerostomia, is a common symptom in the elderly population. It is often a side effect of polypharmacy, but can also be due to an underlying disease process, such as Sjogren’s syndrome. Patients who have been treated with radiation for head and neck cancers often have a severe degree of xerostomia as well.

Ulcers and plaques in the oral cavity can be cause for concern in some patients. These are often secondary to treatable conditions, such as stress, infection, or vitamin deficiencies. However, any non-healing ulcers, especially in patients who smoke or drink heavily, can be a sign of oral cancer and should be ruled out immediately with a biopsy.
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