Do you see what I see?
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Rani
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News, Views and More from Batch'64, Faculty of Medicine, Colombo, SriLanka
"Best and the Brightest from 1964"
News, Views and More from Batch'64, Faculty of Medicine, Colombo, SriLanka 
Few teechs are missing in the lower jaw
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I can see a mouth held open with a gadget. Tongue is in a retracted state obscuring the uvula. The left palato-glossal arch appears thicker than the right. Left palatine tonsil is not clearly seen but the right is bluish & may be abnormal.
There may be some swelling of the sublingual ducts.
In the upper jaw, all 4 premolars are absent. In the lower jaw, the anterior teeth are not included in the picture. Fillings are seen in some teeth.
Colour of the tongue & hard palate seems to be OK.
That’s all I can see. Can you see anything else?
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Could this be a calculus in the sub-mandibular duct ?
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Dear Abey,
I thought about it but didn’t mention. It may be a calculus at the orifice of the left submandibular duct rather than swollen sub lingual duct/glands.
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Smooth depapillated tongue. Vit B12 deficiency.
Molars and premolars missing B/L lower jaw
Nisantha
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Thanks to all the participants, Indragee,
Nissantha ,Abey, Seelan for the Plaucible explanation s. I agree 100% with them
Seelan your X-ray eyes are amazing even outside your working department.
I see all what you’ll have seen ..
In addition as Seelan had mentioned I , I see A mouth cavity ,with no visible UVULA (MALLOPATI (class 1v)
Ya, the Mallampati score or Mallampati classification, named after the Indian-born American anaesthesiologist Seshagiri Mallampati, is used to predict the ease of endotracheal intubation. As well as incidence of SLEEP APNOEA
[1] The test comprises a visual assessment of the distance from the tongue base to the roof of the mouth, and therefore the amount of space in which there is to work. It is an indirect way of assessing how difficult an intubation will be;
Aclassification system, used in direct laryngoscopy during the intubation process itself. A high Mallampati score (class 3 or 4) is associated with more difficult intubation as well as a higher incidence of sleep apnea.[2]
I thought this is a quiz that will help us to asses the hot Raging, medical topic of Sleep Apnoea.
Leading to Fatigue, stroke DM, etc. and PARTNER disagreements?among the septuagenarian s.
More than that can help our GRAND CHILDREN wth BRUXISM- teeth grinding, snoring etc leading to OBSTRUCTIVE Sleep Apnoe
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As an Anesthesiologist I am quite familiar with the Mallampati classification. However I thought you were trying to point out an internal medicine quiz.
Airway anatomy is one of the first things we look at during a pre anesthesia examination.
Thanks Rani.
Nisantha
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