TONGUE IN DISEASE MEDICAL DIAGNOSIS:


TONGUE IN DISEASE MEDICAL DIAGNOSIS:


Introduction:

Tongue is a muscular organ connected with the function of deglutition, taste and speech.It works as an easily obtainable body organ for the assessment of health of a specific and also reveals the state of hydration of the body.It is said that tongue is the mirror of the stomach system as well as any unusual performance of the tummy and also intestinal tracts will be assessed the tongue.

Some characteristic modifications occur in the tongue in some particular diseases.That is why the examination of the tongue is extremely essential as well as will certainly offer some ideas for diagnosis.All medical professionals analyze the tongue and they take into consideration the modifications in dimension, form,, colour, moisture, coating, nature of papillae and also motions ect.

Appearance of tongue in some unusual problems:-.

1) Activities of the tongue:-.

a) In one sided paralysis of the body( hemiplegia) tongue moves towards the parylised side when stuck out.

b) Tremulus motion of the tongue is seen in conditions like thyrotoxicosis, ecstasy tremens and parkinsonisum.Tremor is likewise seen in anxious clients.

c) In progressive bulbar palsy there will certainly be throwing away and paralysis of the tongue with fibrillation.Eventually the tongue obtains shrivelled and also lies functionless in the flooring of the mouth.This condition is connected with dribbling of saliva and also loss of speech.

d) In chorea( uncontrolled balanced movements) the individual may not have the ability to maintain the protruded tongue in remainder, it will be moving involuntarily.

2) Moistness of the tongue:-.

The moistness of the tongue gives some sign regarding the state of hydration of the body.Water quantity exhaustion results in outer circulatory failing qualified by weak point, thirst, uneasyness, anorexia nervosa, nausea, throwing up, completely dry and parched tongue.

Dryness of the tongue is seen in complying with problems.

a) Diarrhea.
b) Later stages of serious illness.
c) Advanced uraemia.
d) Hypovolumic shock.
e) Warm exhaustion.
f) Hyponatraemia.
g) Intense intestinal blockage.
h) Malnourishment.
i) Prlonged fasting.

3) Modification in colour of tongue:-.

a) Main cyanosis:-.

Cyanosis is the bluish discolouration of the mucus membrane layer because of lower in the quantity of oxygen in the blood.This is seen in cardiac arrest, respiratory failing and also in anoxia.In cyanosis tongue, lips ect ends up being light blue.

b) Jaundice:-.

This is the yellow-colored discolouration of all mucus surfaces of the body (including tongue) as a result of raise of bilirubin in the blood.Jaundice is seen in hepatitis, bile air duct obstruction, increased devastation of RBCs and also ect ...

c) Advanced uremia:-.

This is the increase of urea and also various other nitrogenous waste items in the blood due to kidney failure.Here the tongue become brown in colour.

d) Keto acidosis:-.

This is the acidosis with accumulation of ketone bodies seen mainly in diabetic issues mellitus.Here the tongue ended up being brownish with a common ketone scent from the mouth.

e) Riboflavin deficiency:-.

Deficiency of this vitamin (vitamin B2) produces megenta colour of the tongue with discomfort and cracks of lips.

f) Niacin deficiency:-.

Deficiency of niacin (vitamin B3) as well as some other B complex vitamins results in bright scarlet or sturdy red tongue.

g) Anaemia:-.

It is the reduction in haemoglobin percent of the blood.In serious anaemia tongue comes to be light.

4) Coating on the tongue:-.

a) Halitosis:-.

The main cause for halitosis is formation of a pasty covering( bio film) on the tongue which lodges countless anaerobic bacteria resulting in the production of offenssive gases.Those who complain about bad breath might have thick layer on the posterior part of the tongue.

b) Typhoid high temperature:-.

In typhoid fever tongue comes to be white coared like a hair.

c) Candidiasis;-.

It is a fungal infection which impacts the mucous surface areas of the body.On the tongue there will be sloughing white lesions.

d) In diabetes as well as hypoadrenalism there will certainly be jettisoning white lesions.

e) Second syphilis:-.

Syphilis is a sexually sent infected caused by trepenoma pallidum infection.In additional stage of this condition we can see mucous spots which are pain-free, smooth white glystening opalescent plaques which can not be removed quickly.

f) Leokoplakia:-.

Below white keratotic spots are seen on the tongue and oral cavity.This is a precancerous problem.

g) HELP:-.

In these patients unshaven leukoplakia is seen.

h) Peritonitis:-.

It is the swelling of the peritonium( internal treatment of stomach tooth cavity which likewise covers the intestines and also maintain them ready) in this condition there is white furring of the tongue.

i) Intense disease:-.

Furring is also seen in some acute conditions.

5) Papillae:-.

These are little estimates on the rongue connected with taste.There are different sort of papillae on the healthy and balanced tongue.In some conditions there are some uncommon modifications which are complying with.

a) Unshaven tongue:-.

This problem is due to elongation of filiform papillae seen in inadequate oral hygeine, general debility as well as acid indigestion.

b) Geographical tongue:-.

Here irregular red and also white spots show up on the tongue.These lesions appears like a geographical map.The excact cause is not known.

c) Mean rhomboid glossitis:-.

In this problem there is smooth nodular red area in the posterior mid line of the tongue.This is a hereditary condition.

d) Nutritional deficiency:-.

In nutrional deficiency there is glossitis( swelling of tongue) causing papillary hypertrophy complied with by degeneration.

e) Benign migratory glossitis:-.

It is an inflamatory condition of the tongue where multiple annular locations of desquamation of papillae show up on the tongue which change from area to area in couple of days.

f) Thiamine and also riboflavin shortage:-.

Shortage of these vitamins trigger hypertrophied filiform as well as fungiform papillae.

g) Niacin and also iron deficiency:-.

In this problem there is degeneration of papillae.Smooth tongue is come across in iron shortage.

h) Vitamin A shortage:-.

This triggers furrowed tongue.

i) In dietary megaloblastic anaemia tongue ends up being smooth.

j) Folic acid shortage:-.

Below macrocytic megaloblastic anaemia with glossitis is seen.

k) Cyano coblamine deficiency:-.

Below glossitis with macrocytic megaloblastic anaemia as well as outer neuropathy is run into.

l) Scarlet high temperature;-.

In this streptococcal infection there is bright red papillae standing out of a thick white hair, later the white layer vanish leaving bigger papillae on the bright red surface as well as is called strawberry tongue.

6) Ulcers on the tongue:--.

a) Apthous abscess:-.

These are rounded excruciating abscess show up in worried people often. May be related to food allergy.Usual websites are tongue, lips, dental mucosa and ect.

b) Herpes simplex:-.

It is a severe vesicular eruptions produced by herpes simplex virus.When these blisters fracture it forms abscess.

c) Ulcer in cancer cells:-.

Malignant ulcers are having everted sides with tough base.Bleeding is additionally seen.Cancer of the tongue is common in cigarette chewers.

d) Syphilitic ulcers:-.

Syphilitic cracks are longitudinal in direction.In main syphilis added genital chancre is seen on the tongue.In second syphilis several superficial abscess are seen on the under surface area as well as sides of the tongue.In tertiary syphilis gumma might be seen on the midline of the dorsum of the tongue.

e) Oral abscess:-.

These ulcers are produced by sharp sides of carious teeth.

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