This page was last updated: June 26, 2019
Anatomy of the Oral Cavity
Angioedema / Angioneurotic Edema of Lips
Angioedema of Tongue
Radiofrequency UPP (RAUP) &LAUP
Uvulopalatoplasty (UPP) Intra-op
UPP Post-op
Tonsils, various lesions
Papilloma of the Tonsil
Vincent's Angina (Trench Mouth)
Acute Tonsillitis
Acute Follicular Tonsillitis
Coalescent Acute Tonsillitis
Picture of Tonsillectomy
The Ghorayeb Curly Q's
Peritonsillar Abscess (Quinsy)
Palatal Abscess
Incision and Drainage (I&D) of Peritonsillar Abscess
Infectious Mononucleosis
Hemangioma of Buccal Mucosa
Hemangioma of the Tongue
Benign Tonsillar Masses
Cancer of the Tonsil
Cancer of the Tonsil with Cervical Metastasis
Cancer of the Uvula
Cancer of Oropharynx
Cancer of Hypopharynx
Cancer of Alveolar Ridge, Soft Palate and Retromolar Trigone
Retromolar Trigone Carcinoma
Kissing Tonsils
Hypertrophied Tonsils
Fishbone in Tonsil
Fishbone in Hypopharynx
Endoscopic Picture of Hypertrophied Adenoids
Oral cavity Lesions
Fibroma of Buccal Mucosa and Lip
Lip Pyogenic Granuloma
Fibroma of Tongue
Mucocele of Lip
Lip Abscess
Giant Cell Epulis
Gingival Hyperplasia
Lingual Thyroid
Tongue Cancer (Squamous cell carcinoma)
Tongue Leukoplakia
Tongue Mucocele
Tongue Granular Cell Myoblastoma
Tongue Lymphangioma
Tongue-Tie Ankyloglossia)
Tongue Pyogenic Granuloma from Piercing
Tongue Varices / Varicose Veins
Median Rhomboid Glossitis
Black Hairy Tongue
Geographic Tongue
Scrotal (Fissured)Tongue
Hyperkeratosis of Tongue
Cleft Palate
Tongue and Palate Aphthous Ulcers
Buccal Mucosa Aphthous ulcer
Palate Aphthous Ulcer
Kaposi's Sarcoma of the Palate
Benign Polyp of the Hard Palate
Malignant Melanoma of the Palate
Mucormycosis of the Palate and Maxilla
Benign Mixed Tumors of Salivary Glands
Torus Palatinus & Torus Mandibularis
Tori (Multiple Tori of the Palate)
Buccal Exostosis of the Mandible

Bechara Y. Ghorayeb, MD
Otolaryngology - Head & Neck Surgery

Memorial Hermann Professional Building
1140 Business Center Drive, Suite  560
Houston, Texas 77043
For appointments, call: 713 464 2614
Infectious Mononucleosis (Infectious Mono)
Mononucleosis, also called "mono," is a common illness that can leave you feeling tired and weak for weeks or months. Mono goes away on its own, but lots of rest and good self-care can help you feel better.

Mono usually is caused by the Epstein-Barr virus (EBV). It is most often seen in teens and young adults. Children can get the virus, but it often goes unnoticed because their symptoms are mild. Older adults usually don't get mono, because they have immunity to the virus.

Mono can be spread through contact with saliva, mucus from the nose and throat, and sometimes tears. Because the virus can be spread through kissing, it has earned the nickname the "kissing disease." If you have mono, you can avoid passing the virus to others by not kissing anyone and by not sharing things like drinking glasses, eating utensils, or toothbrushes.

As soon as you get over mono, your symptoms will go away for good, but you will always carry the virus that caused it. The virus may become active from time to time without causing any symptoms. When the virus is active, it can be spread to others.

The most common symptoms of mono are a high fever, a severe sore throat, swollen glands and tonsils, and weakness and fatigue. Symptoms usually start 4 to 6 weeks after you are exposed to the virus.

Mono can cause the spleen to swell. Severe pain in the upper left part of your belly may mean that your spleen has burst. This is an emergency.

Your doctor will ask you questions about your symptoms and will examine you. You may also need blood tests to check for signs of mono (monospot test) and the Epstein-Barr virus. Blood tests can also help rule out other causes of your symptoms.  (Ref.  WebMD For more info, click here)
Infectious Mononucleosis.  Notice white exudate on left tonsil.
Airway obstruction in a child with infectious mono, necessitating a tracheostomy.  Notice the swollen tonsils covered with exudate and the edematous uvula.
Infectious mononucleosis.