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Submandibular gland

Submandibular lymph nodes

Submental lymph nodes

Supraclavicular lymph nodes

Preauricular lymph nodes

Postauricular lymph nodes

Occipital Nodes

Bidigital palpation
use of finger and thumb of same hand
Bimanual palpation
requires use of both hands
digital palpation
use of a single finger
manual palpation
simultaneously using all fingers of one hand
Facial Asymmetry (Bell's palsy)

Facial Asymmetry (swelling)

Lymph Node Asymmetry (enlargement)

Restricted opening
check by use 3 fingers vertically
Bilateral
both sides
Unilateral
one-sided
Midline
towards the middle
Anterior/posterior
front and back
Superior/inferior
above and below
Lateral
to the side
Chewing tobacco irritation

Lip biting
morsicatio buccaratum (chronic)

Traumatic lip hematoma
from a hard bite or fall

Herpes simples (HSV-1)
usually seen on vermillion border.
Herpes labialis/cold sore

Mucocele
minor salivary gland trauma, fluid filled

Angular chelitis
candida infection associated with dentures/drooling

Traumatic ulcer
from biting, braces, sharp tooth

Fordyce granules

Inflammatory Papillary Hyperplasia
-Related to denture irritation
-Appears as a hyperplasia of the palatal tissue, usually red and swollen

palatal torus (torus palatinus)

Nicotinic stomatitis

Epulis fissuratum

Exostoses

Thermal burn
burn caused by heat, sloughing tissue

Geographic tongue

Fissured tongue

Black hairy tongue
elongation of filiform papillae and painless overgrowth

Hairy leukoplakia

Median rhomboid glossitis

Ankyloglossia

Squamous cell carcinoma
non healing, mainly seen on the lateral border of the tongue

Enlarged tonsils

Tonsilloliths (stones)

Oral HPV
wart-like growths

Sialoliths
salivary gland stones

Ranula
Large mucocele on floor of mouth

Varicosities

Atrophic glossitis
loss of tongue papilla, smooth

Glossitis
inflammation of the tongue

Amalgam tattoo
confirmed through radiograph

Intentional tattoo

Oral melanoma
Rare melanomas that may be nodular or ulcerative may mimic benign pigmented lesions. Irregular borders and rapid growth

Labial melanotic macule
lip freckle

Normal melanin pigment

Color, Contour, Consistency

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