Stomatitis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2], Usama Talib, BSc, MD [3]
Overview
A thorough history and physical exam are a necessary for a detailed understanding and diagnosis of stomatitis. The diagnosis of stomatitis is mostly clinical. The location and features of the ulcers or vesicles are also important findings in this regard.
Physical examination
A comprehensive physical exam has great significance in the diagnosis of stomatitis. The exam findings may include:[1]
Appearance
Vitals
- Normal blood pressure
- Fever (in case of infectious stomatitis)
Cardiovascular
- S1: normal
- S2: normal
- Tachycardia (secondary to infection)
HEENT
- Neck tenderness
- Palpable lymph nodes
- Vesicles or ulcers on the tongue
- Vesicles or ulcers on the soft or the hard palate
- Whitish areas on the buccal mucosa
- Oral pin-head vesicles
- Oral mucosal ulcers
- Submandibular lymphadenitis
Dermatological
- Rash in case of diffuse allergic reaction
Gastrointestinal
- Abnormal bowel sounds (with baseline IBD)
References
- ↑ Kolokotronis A, Doumas S (2006). "Herpes simplex virus infection, with particular reference to the progression and complications of primary herpetic gingivostomatitis". Clin Microbiol Infect. 12 (3): 202–11. doi:10.1111/j.1469-0691.2005.01336.x. PMID 16451405.