3 - Introduction to oral ulceration Flashcards
1
Q
What are causes of ulceration?
9
A
- drug induced
- infective
- inflammatory
- immunological
- idiopathic
- hypersensitivity
- neoplastic
- nutritional
- traumatic
2
Q
What is an ulcer?
A
- a breach in the mucosa
- localised defect where there is destruction of epithelium exposing underlying connective tissue
3
Q
Describe a traumatic ulcer.
A
- white keratotic border
- clear causative agent
- surrounding mucosa normal
- ulcer is soft
4
Q
Describe an aphthous ulcer.
A
- painful
- red border
- yellow centre
- minor, major or herpetiform
5
Q
What blood tests are used in investigate ulceration?
A
- FBC
- haematinics (B12, folate and ferritin)
- coeliac screen
6
Q
What symptoms should you ask about if ulceration is suspected to be caused by GI problems?
A
- abdominal pain
- blood or mucus in stools
- altered bowel motion
- unintentional weight loss
7
Q
What symptoms should you ask about if ulceration is suspected to be caused by CTD?
A
- joint pain and stiffness
- photosensitive rashes
- dry eyes and dry mouth
- fatigue
8
Q
What are common viruses associated with oral ulceration?
A
- HSV
- varicella zoster
- EBV
- coxsackie
- HIV
9
Q
What are features of an ulcer that make it higher risk of oral cancer?
A
- raised
- rolled borders
- hard
