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Oral Examination Under General Anaesthesia (view source)
Revision as of 13:57, 15 May 2013
, 13:57, 15 May 2013no edit summary
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The oropharynx should be examined prior to endotracheal intubation. Normal anatomical features of the oral cavity need to be identified and inspected. A check list is given below:
The oropharynx should be examined prior to endotracheal intubation. Normal anatomical features of the oral cavity need to be identified and inspected. A check list is given below:
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Oropharynx:
<!----------------------------------Oropharynx------------------------------->
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{|width="100%" cellpadding="2" cellspacing="5" style="vertical-align:top; background:#B7CECF;"
!<h2 id="mp-tfa-h2" style="margin:0; background:#f5faff; font-size:120%; font-weight:bold; border:0px solid #a3bfb1; text-align:left; color:#000; padding:0.2em 0.4em;">Oropharynx:</h2>
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*Soft palate
*Soft palate
*Palatoglossal arch
*Palatoglossal arch
*Hamular process of the pterygoid
*Hamular process of the pterygoid
*Fauces
*Fauces
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Lips and Cheeks:
<!----------------------------------Lips and Cheeks------------------------------->
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{|id="mp-right" width="100%" cellpadding="2" cellspacing="5" style="vertical-align:top; background:#f5faff;"
!<h2 id="mp-tfa-h2" style="margin:0; background:#B7CECF; font-size:120%; font-weight:bold; border:0px solid #a3bfb1; text-align:left; color:#000; padding:0.2em 0.4em;">Lips and Cheeks:</h2>
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*Mucocutaneous junction
*Mucocutaneous junction
*Vestibules
*Vestibules
*Frenula (maxillary and mandibular)
*Frenula (maxillary and mandibular)
*Salivary papilla (parotid and zygomatic)
*Salivary papilla (parotid and zygomatic)
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Oral mucous membranes:
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<!----------------------------------Oral Mucous Membranes------------------------------->
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{|width="100%" cellpadding="2" cellspacing="5" style="vertical-align:top; background:#f5faff;"
!<h2 id="mp-tfa-h2" style="margin:0; background:#B7CECF; font-size:120%; font-weight:bold; border:0px solid #a3bfb1; text-align:left; color:#000; padding:0.2em 0.4em;">Oral Mucous Membranes:</h2>
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*Alveolar mucosa
*Alveolar mucosa
*Mucogingival line
*Mucogingival line
*Free gingiva
*Free gingiva
*Mucosa of the hard and soft palate
*Mucosa of the hard and soft palate
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Hard palate:
<!----------------------------------Hard Palate------------------------------->
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{|id="mp-right" width="100%" cellpadding="2" cellspacing="5" style="vertical-align:top; background:#B7CECF;"
!<h2 id="mp-tfa-h2" style="margin:0; background:#f5faff; font-size:120%; font-weight:bold; border:0px solid #a3bfb1; text-align:left; color:#000; padding:0.2em 0.4em;">Hard Palate:</h2>
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*Incisive papilla
*Incisive papilla
*Incisive duct openings
*Incisive duct openings
*Palatine rugae and raphe (always check the rugae for hair impaction in dogs presenting with halitosis especially brachycephalic breeds)
*Palatine rugae and raphe (always check the rugae for hair impaction in dogs presenting with halitosis especially brachycephalic breeds)
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Floor of mouth:
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<!----------------------------------Floor of Mouth------------------------------->
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{|width="100%" cellpadding="2" cellspacing="5" style="vertical-align:top; background:#B7CECF;"
!<h2 id="mp-tfa-h2" style="margin:0; background:#f5faff; font-size:120%; font-weight:bold; border:0px solid #a3bfb1; text-align:left; color:#000; padding:0.2em 0.4em;">Floor of Mouth:</h2>
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*Sublingual caruncle
*Sublingual caruncle
*Tongue
*Tongue
*Lingual salivary gland
*Lingual salivary gland
* Tongue papillae
* Tongue papillae
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Any abnormalities need to be noted – look for swellings, inflammation, ulcerations. Check if the lesion is localised to one area or more generalised. Always biopsy abnormal tissue if a cause cannot be identified.
Any abnormalities need to be noted – look for swellings, inflammation, ulcerations. Check if the lesion is localised to one area or more generalised. Always biopsy abnormal tissue if a cause cannot be identified.
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