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Tongue Exam

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1. Impact of Traditional Versus Flavored Tongue Depressors on Pediatric Oropharynx Exam. (Abstract)

Impact of Traditional Versus Flavored Tongue Depressors on Pediatric Oropharynx Exam. We compared patient-reported discomfort associated with oropharynx examination using traditional (unflavored) versus flavored tongue depressors among pediatric patients presenting to the emergency department in a single-blinded, placebo-controlled randomized trial using a convenience sample ages 3 to 12 years. Our primary outcome was patient discomfort. Secondary outcomes included provider perceptions (...) of patient discomfort, provider-reported examination ease, and caregiver perceptions of patient discomfort. Of 96 recruited patients, 92 (95.8%) completed the study. Forty-six (50%) were randomized to a traditional tongue depressor. Mean patient-reported oropharynx examination discomfort scores were 2.3 cm (95% confidence interval = 1.4-3.2 cm) with traditional tongue depressors versus 1.9 cm (95% confidence interval = 1.0-2.8 cm) with flavored tongue depressors ( P = .72). There were similarly

2018 Clinical pediatrics Controlled trial quality: predicted high

2. Observational Study of the Association Between Tongue Exam and the Kampo Diagnostic Procedure of Fuku Shin (Abdominal Exam) in Blood Stasis Full Text available with Trip Pro

Observational Study of the Association Between Tongue Exam and the Kampo Diagnostic Procedure of Fuku Shin (Abdominal Exam) in Blood Stasis Blood stasis is a very important pathophysiological concept not only in Kampo but also in traditional Chinese medicine. Blood stasis indicates severe disease. Fuku shin (the abdominal exam) and Zetsu shin (the tongue exam) are the most important approaches of the 4 diagnostic procedures in Kampo. Tenderness of the lower abdominal region ( Sho fuku koh man

2017 Journal of evidence-based complementary & alternative medicine

3. Best Practices on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents

Best Practices on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents Overview Upcoming Events News Room Get Involved Member News Parent Resource Member Benefit AAPD 2019 AAPD CE Course Highlight Pedo Teeth Talk Oral Health Policies & Recommendations Practice Management Open Access Policy Center Update New Best Practice Recommendation Evidence-Based Dentistry Latest Advocacy News Grassroots Advocacy (...) AAPD PAC Open Searchbar Close Searchbar Open Navigation Close Searchbar > > > Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents Share on social media: Purpose The American Academy of Pediatric Dentistry ( AAPD ) intends these recommendations to help

2018 American Academy of Pediatric Dentistry

4. Do Traditional or Flavored Tongue Depressors Make for Easier Posterior Oropharynx Exams in Pediatric Patients

department who require an oropharyngeal examination as part of their evaluation. Examinations will be performed utilizing either traditional (unflavored) or flavored tongue depressors in a random fashion. . Physician/provider investigators will complete a brief survey after each exam as to the ease of the exam and the perceived emotional discomfort the exam experienced by the subject, both recorded on a visual analog scale. The age and sex of the subject, and the education level of the investigator (...) Do Traditional or Flavored Tongue Depressors Make for Easier Posterior Oropharynx Exams in Pediatric Patients Do Traditional or Flavored Tongue Depressors Make for Easier Posterior Oropharynx Exams in Pediatric Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies

2017 Clinical Trials

5. Outpatient biopsy for diagnosis of suspicious lesions of the larynx pharynx and tongue base

Outpatient biopsy for diagnosis of suspicious lesions of the larynx pharynx and tongue base SHTG Advice Statement | 1 Advice Statement 012-18 October 2018 Advice Statement Outpatient biopsy, for diagnosis of suspicious lesions of the larynx, pharynx and tongue base Advice for NHSScotland Outpatient biopsy has a low rate of complications and, in most cases, sufficient tissue for pathological examination can be obtained. Where there strong clinical suspicion of malignancy, outpatient biopsy (...) and neck outpatient clinics commonly undergo transnasal endoscopy to visualise the larynx, pharynx and tongue base. When suspected malignant lesions are identified, the ‘gold standard’ investigation is direct laryngoscopy under general anaesthetic in the operating theatre. In addition to anaesthetic risk, this carries risk of dental damage, and in some cases, requirement for SHTG Advice Statement | 2 tracheostomy. The need to schedule theatre time, an overnight or day-case hospital bed and pre

2019 Evidence Notes from Healthcare Improvement Scotland

6. Tongue Exam

Tongue Exam Tongue Exam Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Tongue Exam Tongue Exam Aka: Tongue Exam II. Exam Stick out (...) , turn to both sides (CN XII) dorsum should be pink, velvety Use gauze to grasp anterior to see all surfaces Palpate for masses or s (especially base and lateral margins) Observe for white lesions suggestive of III. Exam: Normal Findings Dorsal fissuring ( ) ( ) ("Caviar Lesions") IV. Exam: Tongue Abnormalities V. Exam: Presenting Tongue Symptoms ( ) or VI. Exam: Cancers and Pre-cancers Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search

2018 FP Notebook

7. Fissured, hairy, and geographic tongue

symptomatic relief, is generally necessary. Definition Fissured tongue is a common, benign clinical condition of unknown aetiology usually affecting the dorsum of the tongue. Bouquot JE, Gundlach KKH. Odd tongues: the prevalence of common tongue lesions in 23,616 white Americans over 35 years of age. Quintessence Int. 1986;17:719-730. http://www.ncbi.nlm.nih.gov/pubmed/3466199?tool=bestpractice.com On physical examination, numerous grooves or fissures are seen on the dorsal surface of the tongue (...) at other sites within the mouth, such as the buccal mucosa, labial mucosa, and soft palate. Geographic tongue presents as well-delineated areas of erythema with raised white circinate edges. Jainkittivong A, Langlais RP. Geographic tongue: clinical characteristics of 188 cases. J Contemp Dent Pract. 2005; 6:123-135. http://www.ncbi.nlm.nih.gov/pubmed/15719084?tool=bestpractice.com History and exam presence of risk factors grooves and fissures on the dorsal tongue (fissured tongue) hairy projections

2017 BMJ Best Practice

8. Tongue surface model can predict radiation tongue mucositis due to intensity-modulated radiation therapy for head and neck cancer. (Abstract)

Tongue surface model can predict radiation tongue mucositis due to intensity-modulated radiation therapy for head and neck cancer. Acute radiation tongue mucositis has a profound effect on talking and eating. We examined whether the dose-volume histogram obtained from the tongue surface model correlates with mucositis severity, and whether it is useful for predicting acute radiation tongue mucositis in patients with head and neck cancer treated with intensity-modulated radiation therapy. Thirty (...) -six patients who received intensity-modulated radiation therapy for head and neck cancer were analysed for acute radiation tongue mucositis according to the Common Terminology Criteria for Adverse Events, version 4.0, as well as the Radiation Therapy Oncology Group scoring systems. The corresponding high-dose locations in anatomical sub-regions in the tongue surface model and the development of high-grade acute radiation tongue mucositis were compared. The mucositis sites coincided with the high

2019 International Journal of Oral and Maxillofacial Surgery

9. Relationship between Tongue Temperature Estimated by Infrared Thermography, Tongue Color, and Cold-Heat Pathological Patterns: A Retrospective Chart Review Study. Full Text available with Trip Pro

women with gynecological problems (age, 38.97 ± 11.49 years). The temperatures of seven tongue regions (root, center, tip, and both sides of the center and root) were determined, and the effects of age, regional differences, and their correlations with color parameters were examined. Factor analysis was conducted separately with the 10 cold pattern (CP) and 10 heat pattern (HP) items. Tongue temperature showed an age effect (β; -0.198 to -0.210) and regional differences (both sides of the root (...) Relationship between Tongue Temperature Estimated by Infrared Thermography, Tongue Color, and Cold-Heat Pathological Patterns: A Retrospective Chart Review Study. Tongue diagnosis is a technique used to determine cold-heat pathologic patterns (CHPPs). Herein, we reviewed electronic medical records of tongue temperature measured using infrared thermography (IRT), tongue color (luminance, green/red, and blue/yellow balance), cold-heat pattern questionnaires (CHPQ), and body temperature for 134

2018 Evidence-based Complementary and Alternative Medicine (eCAM)

10. Clinical observation of tongue coating of perioperative patients: factors related to the number of bacteria on the tongue before and after surgery. Full Text available with Trip Pro

of this study is to investigate the number of bacteria on the tongue before and after surgery and factors affecting it.Fifty-four patients who underwent oncologic or cardiac surgery under general anesthesia at Nagasaki University Hospital were enrolled in the study. Various demographic, tumor-related, treatment-related factors, and the number of bacteria on the tongue and in the saliva were examined, and the relationship among them was analyzed by Mann-Whitney U test, Spearman rank correlation coefficient (...) Clinical observation of tongue coating of perioperative patients: factors related to the number of bacteria on the tongue before and after surgery. Increased amount of tongue coating has been reported to be associated with increased bacteria count in the saliva and aspiration pneumonia in elderly people. However, the implications of tongue coating for prevention of postoperative complications in patients undergoing major oncologic or cardiac surgery has not been well documented. The purpose

2018 BMC Oral Health

11. Potential factors influencing the development of oral tongue squamous cell carcinoma in young mature patients: Lingual position of the mandibular second molar and narrow tongue space Full Text available with Trip Pro

Potential factors influencing the development of oral tongue squamous cell carcinoma in young mature patients: Lingual position of the mandibular second molar and narrow tongue space The lingual position of the mandibular second molar and narrow tongue space are associated with oral tongue squamous cell carcinoma (OTSCC) development in young mature patients. The present study aimed to assess the role of the mandibular second molar position and tongue space in young mature patients with OTSCC (...) . The medical records of 21 patients with OTSCC aged <50 years, who had an intact mandibular second molar and had undergone computed tomography (CT) imaging between April 2009 and December 2015 at the Section of Maxillofacial Surgery in Tokyo Medical and Dental University, were retrospectively examined. As controls, 21 sex-matched patients of a similar age to the patients in the OTSCC group, and with a height and weight within 5% of those of the OTSCC group, were collected. The location of the mandibular

2017 Oncology letters

12. A Study of Tongue Conservation Surgery for Oral Tongue Cancer

below. For general information, Layout table for eligibility information Ages Eligible for Study: 20 Years to 70 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Patients with histological proof of squamous cell carcinoma of oral tongue b. cT2-4, N0-2,M0, by clinical or radiographic examinations Either mandibulotomy, mandibulectomy or flap reconstruction is required by standard surgical planning Eastern Cooperative Oncology Group (...) A Study of Tongue Conservation Surgery for Oral Tongue Cancer A Study of Tongue Conservation Surgery for Oral Tongue Cancer - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. A Study of Tongue Conservation

2017 Clinical Trials

13. Expression of von Hippel-Lindau tumor suppressor protein (pVHL) characteristic of tongue cancer and proliferative lesions in tongue epithelium. Full Text available with Trip Pro

Expression of von Hippel-Lindau tumor suppressor protein (pVHL) characteristic of tongue cancer and proliferative lesions in tongue epithelium. Patients with tongue cancer frequently show loss of heterozygosity (LOH) of the von Hippel-Lindau (VHL) tumor suppressor gene. However, expression of VHL protein (pVHL) in tongue cancer has rarely been investigated and remains largely unknown. We performed immunohistochemical staining of pVHL in tongue tissues and dysplasia, and examined the association (...) with LOH and its clinical significance.Immunohistochemical staining of pVHL in formalin-fixed, paraffin-embedded sections of cancerous and other tissues from 19 tongue cancer patients showed positivity for LOH of VHL in four samples, negativity in four samples, and was non-informative in 11 samples. The staining pattern of pVHL was also compared with those of cytokeratin (CK) 13 and CK17.In normal tongue tissues, pVHL staining was localized to the cytoplasm of cells in the basal layer and the area

2017 BMC Cancer

14. Low inter-examiner agreement of the Friedman staging system indicating limited value in patient selection Full Text available with Trip Pro

Low inter-examiner agreement of the Friedman staging system indicating limited value in patient selection The Friedman staging system is a clinical method for selecting patients with obstructive sleep apnoea who are likely to benefit from uvulopalatopharyngoplasty. The objective of this study was to evaluate the system by determining its inter-examiner agreement.Twelve patients with obstructive sleep apnoea were examined by 14 doctors. The Friedman stage was derived from tonsil size and tongue (...) position, and a Cohen's kappa analysis was performed to assess inter-examiner agreement.One hundred and sixty-eight ratings were performed. The median kappa for tongue position was 0.32 (first and third quartiles: 0.21 and 0.44) and was 0.62 (0.50 and 0.63) for tonsil size. The median kappa for the Friedman stage was 0.38 (0.24 and 0.55), which corresponds to only a slight or fair agreement.The Friedman staging system demonstrated a low inter-examiner agreement, indicating that the system

2018 European Archives of Oto-Rhino-Laryngology

15. National Association of Medical Examiners position paper: Recommendations for the investigation and certification of deaths in people with epilepsy. Full Text available with Trip Pro

National Association of Medical Examiners position paper: Recommendations for the investigation and certification of deaths in people with epilepsy. Sudden unexpected death of an individual with epilepsy can pose a challenge to death investigators, as most deaths are unwitnessed, and the individual is commonly found dead in bed. Anatomic findings (eg, tongue/lip bite) are commonly absent and of varying specificity, thereby limiting the evidence to implicate epilepsy as a cause of or contributor (...) to death. Thus it is likely that death certificates significantly underrepresent the true number of deaths in which epilepsy was a factor. To address this, members of the National Association of Medical Examiners, North American SUDEP Registry, Epilepsy Foundation SUDEP Institute, American Epilepsy Society, and the Centers for Disease Control and Prevention constituted an expert panel to generate evidence-based recommendations for the practice of death investigation and autopsy, toxicological analysis

2018 Epilepsia

16. Inter-personal diversity and temporal dynamics of dental, tongue, and salivary microbiota in the healthy oral cavity Full Text available with Trip Pro

Inter-personal diversity and temporal dynamics of dental, tongue, and salivary microbiota in the healthy oral cavity Oral microbes form a complex and dynamic biofilm community, which is subjected to daily host and environmental challenges. Dysbiosis of the oral biofilm is correlated with local and distal infections and postulating a baseline for the healthy core oral microbiota provides an opportunity to examine such shifts during the onset and recurrence of disease. Here we quantified (...) the daily, weekly, and monthly variability of the oral microbiome by sequencing the largest oral microbiota time-series to date, covering multiple oral sites in ten healthy individuals. Temporal dynamics of salivary, dental, and tongue consortia were examined by high-throughput 16S rRNA gene sequencing over 90 days, with four individuals sampled additionally 1 year later. Distinct communities were observed between dental, tongue, and salivary samples, with high levels of similarity observed between

2017 NPJ biofilms and microbiomes

17. Cavernous lymphangioma of the tongue in an adult: a case report Full Text available with Trip Pro

Cavernous lymphangioma of the tongue in an adult: a case report Lymphangioma is a benign hamartomatous lesion caused by congenital malformation of the lymphatic system. This benign tumor is detected most commonly at birth or in early childhood but rarely in adults. On clinical examination, most lymphangiomas contain clear lymph fluid, but some may present as transparent vesicles containing red blood cells due to hemorrhage. In addition, lymphangioma may occur in association with hemangioma (...) . This tumor occurs most commonly in the head and neck area, but rarely in the oral cavity. The dorsum of the tongue is the most common location in the mouth, followed by the lips, buccal mucosa, soft palate, and floor of the mouth. There are various treatment approaches for lymphangioma, but surgical excision is the preferred method. We present a case of a 26-year-old man with lymphangioma on the anterior dorsal part of the tongue, not associated with any dysfunction in mastication or speech disorders.

2017 Journal of Istanbul University Faculty of Dentistry

18. The tongue features associated with type 2 diabetes mellitus. Full Text available with Trip Pro

diagnosis.The tongue features for 199 patients with type 2 DM, and 372 non-DM individuals, serving as control, are extracted by the automatic tongue diagnosis system (ATDS). A total of 9 tongue features, namely, tongue shape, tongue color, fur thickness, fur color, saliva, tongue fissure, ecchymosis, teeth mark, and red dot. The demography, laboratory, physical examination, and tongue manifestation data between 2 groups were compared.Patients with type 2 DM possessed significantly larger covering area (...) The tongue features associated with type 2 diabetes mellitus. Diabetes mellitus (DM) is a public problem closely associated with numerous oral complications, such as coated tongue, xerostomia, salivary dysfunction, etc. Tongue diagnosis plays an important role in clinical prognosis and treatment of diabetes in the traditional Chinese medicine (TCM). This study investigated discriminating tongue features to distinguish between type 2 DM and non-DM individuals through non-invasive TCM tongue

2019 Medicine

19. Association between tongue coating thickness and ultraviolet fluorescence in patients with functional dyspepsia: A prospective observational study. Full Text available with Trip Pro

Association between tongue coating thickness and ultraviolet fluorescence in patients with functional dyspepsia: A prospective observational study. The aim of this study was to examine the correlation between the tongue coating thickness (TCT) and ultraviolet (UV) fluorescence and propose a new method for the estimation of TCT using a computerized tongue image acquisition system (CTIS).In this prospective and observational single-center study, we acquired tongue images under visible light (...) and near-UV light for 60 patients with functional dyspepsia. Tongue images were acquired twice within a 30-minute interval to assess the reliability of CTIS. Then, the tongue coating was scraped and weighed to derive the wet weight of the tongue coating (WWTC). The percentage of the tongue coating area was calculated from the tongue images acquired under visible light. Mean color values (mCVs) for the UV fluorescence of the dorsal surface of the tongue were also computed.The reliabilities

2019 Medicine

20. Psychometric Validation of the "Antillanisée" Version of the Mini Mental State Examination (MMSEa)

Psychometric Validation of the "Antillanisée" Version of the Mini Mental State Examination (MMSEa) Psychometric Validation of the "Antillanisée" Version of the Mini Mental State Examination (MMSEa) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove (...) one or more studies before adding more. Psychometric Validation of the "Antillanisée" Version of the Mini Mental State Examination (MMSEa) (MMENSEA) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03324711 Recruitment

2017 Clinical Trials

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