🌞🌞🌞A lot lot lot thanks to your efforts, Ryan! ( Sorry if I haven’ t written correctly your name 😔) Your videos are enormously helpful and easy to listen and to memorize!!! This is so important during preps to NBDE part 2!!!!!! Waiting for new videos on different NBDE part 2 disciplines! Your videos is a must have , no doubts!!!!! Good luck to you!!!!! Thank you!👍😉
Herpetic whitlow… text reads "patients until it resides" when it SHOULD read "patients until it resolves." Thank you Ryan. You are awesome! Up your microphone game! I bought a Heil PR40 and an Apogee USB interface. Really upped my audio.
Dr. Ryan, can you please give the answer for the following question? A 9 year old presents with acute gingival pain of four days duration. There are small, round ulcers on the interproximal gingival and buccal mucosa. Which of the following is the most likely diagnosis? A- Primary herpetic gingivostomatitis B- Necrotizing ulcerative gingivitis C- Aphthous stomatitis D- Gingival abscess
Hi Fawad, This is a great question and tests several key features of mucosal infections. It gives you a few clues right at the beginning: we know the patient is only 9 years old (childhood), the pain is acute, and lasts for just a few days (short duration). It also tells us that the condition presents as multiple small ulcers on gingiva (keratinized tissue) and buccal mucosa (non-keratinized tissue). The disease that best fits all of these descriptions--panoral (occurring all over the mouth), childhood, self-limiting, and small ulcers is A, primary herpetic gingivostomatitis.
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Dr Ryan! I have a question about where the viruses are when they are latent. I saw somewhere that dorsal root ganglion are known to harbor latent varicella zoster virus and trigeminal ganlion harbor latent varicella and herpes simplex virus. Can you clear this for us?? or I can just answer that all these viruses stay latent in trigeminal ganglion?? Thank you very much doctor!
Dr. Ryan can you please help me understand this better on 5:10...the varicella Zoster stays latent in trigeminal nerve always? So if they bring for us a Ramsey Hunt syndrom and ask about where the virus is latent is it in trigeminal ganglion or we say geneculate? Or the geniculate ganglion is only when it's reactivated?
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One question dr. Ryan! You've presented oral hairy leukoplakia afer the Focal epithelial hyperplasia (Heck's disease) as if oral hairy leukoplakia had any connection with papilloma viruses manifestations? or is it as I think two different entities? Thanks in advance:)
Hi there! They are similar in that they are both caused by viruses, but they are different in that they are associated with different viruses. FEH is caused by HPV, whereas OHL is caused by EBV, so they are definitely different disease processes.
Dr Ryan, thank you so much for this video! I have a question, can we do hygiene in patients with herpes or candidiasis? Please I hope you can answer my question and I need the source for the information. Thank you!
Hi I have a chronic severe halitosis i many years now. I have pharyngeal polyps. I have a severe tonsil Stones but I managed to take it out everyday. I tried every single product and go to the densist 2x a year. But My breath still stinks. One time I take antibiotics for earinfection. And I notice that My breath smells better. And Comes again after. Please help?
Thanks for your question. What you are describing sounds consistent with tonsilloliths, although there could be something medical-related going on if you are getting them consistently. I would recommend following up with your medical doctor and/or seeking out an oral medicine doctor or oral pathologist to get to the bottom of this issue.
Hi Dr Rayan I have a question here regarding appearance of back of the throat and soft palate in Herpangina which to me is almost the same as what you might see in Petechia when patient has Thrombocytopenic purpura. How we can distinguish them just by looking at them. Thanks
Just from looking may be difficult, but the lesions of herpangina are typically larger and covered with a yellowish pseudomembrane because they are ulcers rather than petechiae by nature. Of course, a review of symptoms with the patient and appropriate testing would clarify for you which is which.
