MOUTH AND THROAT
EXAMINATION OF INFANT OR CHILD
Note any unusual shape , cleft lip, nevi, lesions at the
corners, ulcers on buccal mucosa, tongue or pharynx, spongy gums, dental caries
or malocclusion, opening of the Stensen duct at the level of second upper
molar, Koplik spots, hard and soft palate, tonsils and postnasal discharge.
If a baby can move his tongue over the alveolar margin
(which is invariably the case), the so-called “tongue-tie” is out. Fissuring of
the tongue occurs in many cases of Down syndrome. Tremors may suggest
Werdnig-Hoffman disease. Frenular ulcer is a feature of pertussis. Macroglossia
may be encountered in cretinism, and gargoylism. Glossoptosis occurs in
association with micrognathia and cleft palate in Pierre-Robin syndrome.
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