HIV/AIDS and STD's Flashcards
Another name for STD
Venereal disease
Illnesses that have a significant probability of transmission between humans by means of sexual behavior, including vaginal intercourse, anal sex, and oral sex.
Venereal Diseases
HPV is associated with what malignancy?
Oral SCC
HIV is associated with what malignancy?
Hodgkin’s Lymphoma
Kaposi’s Sarcoma
HHV8 is associated with what malignancy?
Kaposi’s Sarcoma
Syphilis is possibly associated with what malignancy?
Oral SCC
The most common STD transmitted via oral sex.
Herpes simplex
T/F: Herpes is most commonly transmitted from _____ to ________.
mouth to genitals
These are rarely transmitted during oral sex.
HPV and Chlamydia.
Causes syphilis
Treponema pallidum
Phases of syphilis
Primary
Secondary
Latent
Tertiary
How is syphilis diagnosed?
Darkfield microscopy
Most common site for primary and secondary syphilitic lesions.
Tongue
Manifestation of primary syphilis.
Chancre (58% asymptomatic)
What stage of syphilis is this?
- Mucous patch (coalesces to form “snail-track ulcers”).
- Lymphadenopathy.
- Maculopapular eruption on the palate.
- “Moth-eaten” alopecia.
- Syphilitic leukoderma.
- Condyloma lata
Secondary
Gonorrhea can live in the oral pharynx without _______.
symptoms
Gonorrhea can cause this.
Urethritis
Gonorrhea can also live in this environment.
Rectal.
Causes proctitis
This type of gonorrhea is more common following fellatio, and in MSM (male-sex-male).
Oropharyngeal gonorrhea
This STD has symptoms of SORE THROAT and DYSPHAGIA.
Oropharyngeal gonorrhea
What does oropharyngeal gonorrhea represent?
Strep throat
Oral- anal
Rimming
The most common sexually transmitted infection in the US.
Anogenital HPV.
The most common outcome of HPV.
Anogenital warts
The most common genital ulcer disease.
HSV
Type of HSV associated with genital herpes.
HSV 2
Type of HSV associated with oral/labial herpes.
HSV 1
T/F:
Asymptomatic HSV 2 infections can recur symptomatically.
True
The HIV virus prevents these immune cells from making an immune response.
CD4 Helper T cells.
How many viral particles are in the patient’s blood.
Viral load
Dangerous viral load.
1,000-100,000
Normal T4 count
500-1500
A measure of the quantity of HIV in a drop (mL) of a patient’s blood.
Viral load
3 types of bleeding abnormalities in HIV patients.
1) Anemia
2) Leukopenia
3) Thrombocytopenia
This disease is seen in HIV patients.
Liver disease
T/F:
The incidence of post-procedural complications is no greater among HIV+ patients than the general population.
True
T/F:
The incidence of wound infection after implant surgery in HIV patients is comparable to that of the HIV-negative group. The CD4 count did not affect the incidence of infection.
True
Q: You get oral lesions when the CD4 count is less than what?
200 cells/mm3
Q: You get oral lesions when the viral load is greater than what?
3,000 copies/mL
HIV-Associated oral lesions.
1) Fungal lesions
2) VIral
3) Idiopathic lesions (recurrent ulcers).
4) Bacterial infections
5) Salivary gland disease
6) Neoplasms
Periodontal issues for people with AIDS.
Necrotizing Ulcerative Periodontitis (NUP)
Linear Gingival Erythema (LGE)
Red banding occurs at the gingival margin.
Linear Gingival Erythema
- Rapid bone loss
- Severe jaw pain
- Fetid mouth odor
- Soft tissue necrosis of attached gingival tissue
Necrotizing Ulcerative Periodontitis
Tx for oral candidiasis.
Azole antifungals
Tx for oral hairy leukoplakia and HSV
Cyclovir drugs
Early lesions of Oral Kaposi Sarcoma
Flat with red or purple color.
Late stage lesions of Oral Kaposi Sarcoma
Nodular, raised, or ulcerated.
Vesicles or ulcers with crusting on the vermillion border of the lips and adjacent facial skin.
Herpes Labialis
Mucosal or white-colored riaused lesions that range in texture from smooth, spiky, or cauliflower-like.
Oral warts
White or yellow ulcers with a red halo.
Recurrent aphthous stomatitis
Is hairy leukoplakia removable?
No!
Where does hairy leukoplakia originate?
Lateral margins of the tongue.
Patchy red areas usually located on the palate and dorsum of the tongue.
Erythematous candidiasis
White or creamy spots that can be wiped off, leaving an erythematous surface.
pseudomembranous candidiasis
T/F:
In general, there’s no justification to modify dental tx based solely on the patient’s HIV status.
True
