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Gastrointestinal Week 3 2016/17 > 2: Oral manifestations of systemic disease > Flashcards

2: Oral manifestations of systemic disease Flashcards

1
Q

What papillae are found in a V shape towards the posterior end of the tongue?

A

Circumvallate papillae

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2
Q

Foliate papillae are associated with which lymphatic tissue?

A

Tonsils

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3
Q

What is an exostosis?

A

Cartilaginous growth off a bone as part of normal development

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4
Q

What normal bony growths are found underneath the tongue?

A

Torus mandibularis

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5
Q

If you have any doubt over whether or not an oral finding is normal, what should be done with the patient?

A

Referred

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6
Q

What is angular cheilitis also known as?

A

Angular stomatitis

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7
Q

What is the underlying cause of angular cheilitis?

A

Anaemia

Haematinic deficiency (iron, Vitamin B12 and folate)

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8
Q

What does angular cheilitis look like?

A

Inflammation of corners of lips

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9
Q

What do mouth ulcers look like?

A

Superficial

Round

Yellow

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10
Q

Apthous ulcers are (a one off / recurrent).

A

recurrent

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11
Q

What causes apthous stomatitis (mouth ulcers)?

A

Anaemia

Haematinic deficiency (Iron, Vitamin B12 or folic acid)

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12
Q

What is haematinic deficiency?

A

A deficiency of:

Iron

Vitamin B12

Folate

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13
Q

People with recurrent mouth ulcers should be screened for which GI diseases?

(Which testing method is used?)

A

Coeliac disease; IBD

IgA-tTG test; Colonoscopy

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14
Q

Which disease, other than coeliac disease, can cause mouth ulcers due to damage to the oral mucosa and malabsorption?

A

Crohn’s disease

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15
Q

Recurrent oral ulceration is, in general, an indication of ___ disease.

A

GI

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16
Q

In Crohn’s disease, ulcers are similar to those seen in deficiency - where are they found?

A

Crevices in the mouth

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17
Q

What aspect of the oral cavity can be inflamed in Crohn’s disease?

A

Gingiva

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18
Q

What may be found in the inferior midline of the oral cavity in Crohn’s disease?

A

Mucosal tags

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19
Q

What may be found in the palate of Type II diabetes patients?

A

Thrush

Oral candidiasis

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20
Q

Upon scraping thrush from a patient’s palate, what would you see?

A

Erythema

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21
Q

Who else may develop oral candidiasis?

A

Asthmatics who use ICS

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22
Q

Oral thrush is a marker of ___ control of diabetes.

A

poor

23
Q

What endocrine disease is oral thrush an indicator of?

A

Type II diabetes

24
Q

Oral symptoms may occur as an adverse reaction to ___.

A

medication

25
Q

What is nicorandil used to treat?

What class of drug is it?

A

Angina

K+ channel activator

26
Q

What oral reaction do patients have to nicorandil?

A

Mouth ulcers

insert pic

27
Q

If a patient develops ulcers anywhere after starting on nicorandil, what should you do?

A

Stop using it

28
Q

Where else may nicorandil-related ulcers appear?

A

GI tract (bad - bleeding, peritonitis)

Conjunctiva

Anus

29
Q

What disease causes lesions in the mouth, skin etc. and is potentially malignant?

A

Lichen planus

30
Q

What kind of oral lesions are caused by lichen planus?

A

White thready lesions

Wickham’s striae

31
Q

Lichen planus can also cause inflammation of the ___.

A

gingiva

32
Q

Can lichen planus lesions be removed by scraping?

A

No

33
Q

Oral manifestations of lichen planus tend to appear (unilaterally / bilaterally).

A

bilaterally

34
Q

What anti-hypertensive drug can cause lichen planus?

A

ACE inhibitors

35
Q

What dental procedure can cause lichen planus?

A

Fillings

36
Q

The causes of the vast majority of lichen planus are ___.

A

unknown

37
Q

How is lichen planus diagnosed?

A

Biopsy

38
Q

How is lichen planus treated?

A

Usually isn’t - symptom management only

Topical steroids

39
Q

What is a rare condition which has both oral and conjunctival manifestions?

A

Mucous membrane pemphigoid

40
Q

What is seen in the mouth of someone with mucous membrane pemphigoid?

A

Blisters

41
Q

Oral mucous membrane pemphigoid ___ without issue.

Conjunctival mucous membrane pemphigoid can cause ___ and __ __ __.

A

heals

scarring , loss of sight

42
Q

Who should someone with mucous membrane pemphigoid be referred to?

A

Opthalmologist

43
Q

What rheumatic disease has oral manifestations?

A

Sjogren’s syndrome

44
Q

What is the oral manifestation of Sjogren’s syndrome?

A

Dry mouth

45
Q

Who should a patient with dry mouth associated with Sjogren’s syndrome be referred to?

A

Rheumatologist

46
Q

If your tongue spatula, or dental mirror, or gloved finger is sticking to the inside of the patient’s mouth, what do they have?

A

Dry mouth

47
Q

Patients with a dry mouth tend to have ___ saliva.

A

foamy

48
Q

There are a lot of oral signs indicating ___ infection.

A

HIV

49
Q

Which oral infection, also seen in those with Type II diabetes, is seen in the oral cavities of HIV / AIDS sufferers?

A

Thrush / oral candidiasis

50
Q

What is hairy leukoplakia?

What acute infection does it indicate?

What chronic infection does it indicate?

A

Lesions on the lateral aspect of the tongue with a hairy appearance

Epstein-Barr virus

caused by HIV

51
Q

If hairy leukoplakia or Kaposi’s sarcoma are found in a patient’s mouth, what should they be tested for?

A

HIV / AIDS

52
Q

What type of oral cancer is seen on the tongue?

A

Squamous cell carcinoma

53
Q

Where in the mouth is squamous cell carcinoma found?

A

Tongue

Gastrointestinal Week 3 2016/17 (15 decks)

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