Chapter 14 - Oral Cavity - Part 1 Flashcards
What is an aphthous ulcer?
Canker sore
What is an aphthous ulcer?
Canker sore
What is the name for a recurring canker sore?
Recurrent aphthous stomatitis
What percentage of the population gets aphthous ulcers?
40%
Is aphthous ulcer a common condition?
Yes, 40%
Where do canker sore usually show up?
Oral mucosa and pharynx
Worst case scenarios of canker sores are in which area?
pharynx
How long do aphthous ulcers usually last?
7-10 days
Are aphthous ulcers painful?
yes
What doe aphthous ulcers (canker sores) look like?
Are aphthous ulcers shallow or deep?
Shallow
Who is at risk for aphthous ulcers?
Female,
What 3 diseases are associated with aphthous ulcers?
Celiac disease, Behcet disease, and inflammatory bowel disease.
What are some things that can trigger an aphthous ulcer?
Smoking, stress, trauma, fever, certain foods.
Which herpes simplex virus causes cold sores and fever blisters?
HSV - 1
What is the name for a recurring canker sore?
Recurrent aphthous stomatitis
What percentage of the population gets aphthous ulcers?
40%
Is aphthous ulcer a common condition?
Yes, 40%
Where do canker sore usually show up?
Oral mucosa and pharynx
Worst case scenarios of canker sores are in which area?
pharynx
How long do aphthous ulcers usually last?
7-10 days
Are aphthous ulcers painful?
yes
What doe aphthous ulcers (canker sores) look like?
Less than 5 mm, thin educate (white), & red rimmed
Are aphthous ulcers shallow or deep?
Shallow
Who is at risk for aphthous ulcers?
Female,
What 3 diseases are associated with aphthous ulcers?
Celiac disease, Behcet disease, and inflammatory bowel disease.
What are some things that can trigger an aphthous ulcer?
Smoking, stress, trauma, fever, certain foods.
What are some treatments for aphthous ulcers?
Avoid causative foods and trauma.
NSAIDs, corticosteroids
Vitamin B12**
Which herpes simplex virus causes cold sores and fever blisters?
HSV - 1
Which HSV is genital herpes?
HSV - 2
Primary infections of HSV-1 occur most commonly in?
Young children (2-4) years
When they occur in young children are the symptomatic?
No, 80% are asymptomatic
What is a possible life treating situation with HSV-1?
When virus spreads to brain.
What is acute herpetic gingivostomatitis?
Abrupt onset of vesicles and ulcerations throughout the mouth.
Most adults are carries of this virus.
HSV - 1
HSV-1 involves which ganglion and cranial nerve?
Trigeminal ganglion
CN 5
What is recurrent herpetic stomatitis?
Reactivation/Recurring cold/canker sores
Adult carriers have a _____ infection of HSV-1
latent
Does the location of herpes outbreak indicate type?
No necessarily, may infect either location.
How does a cold sore feel?
Itchy, burning, tingling
What does cold sore look like?
group of small vesicles, 1-3 mm
What are some possible associated symptoms with a cold sore?
Headache,
sore throat,
Malaise
fever
What are some provoking exposures for an outbreak?
UV light, fever, cold,
Trauma, URTI, pregnancy
What happens during and HSV outbreak?
Acute blistering
Are HSV self-limiting? If so, how long do they take to heal?
Yes, vesicles rupture and heal.
7-10 days
Is there a cure?
No, but antiviral drugs decrease replication
What is a possible life treating situation with HSV-1?
When virus spreads to brain.
What is it called when HSV spreads to brain?
Herpesviral encephalitis
What happen with Herpesviral encephalitis?
Acute CNS swelling/inflammation
What is the MC form of HSV that causes Herpesviral encephalitis?
HSV-1
What is the most common fungal infection of the oral cavity?
Oral candidiasis
What causes oral candidiasis?
Candida albicans
Where does oral candidiasis occur?
Tongue, cheeks, gums, tonsils
What is the common name for oral candidiasis?
thrush
What color is thrush?
Gray to white
What is another name for thrush?
pseudomembranous candidiasis
Can the thrush be scraped off?
yes
When you scrape off the white thrush what is below?
erythema (redness)
What are some differential diagnosis’ for the appearance of oral candidiasis?
Leukoplakia
candidemia
Oral CA
What percentage of newborns in the US get oral candidiasis/thrush?
37%