oral d/o Flashcards

1
Q

another name for gingivitis

A

trench mouth, vincent gingivitis

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2
Q

gray or yellow pseudomembrane with underlying bleeding + halitosis, fever, lymphadenopathy

A

gingivitis

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3
Q

gingivitis tx (3)

A

oral hygiene, oral rinses, PCN

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4
Q

localized pain, erythema, yellow exudate that bleeds when scraped after tonsillitis

A

stomatitis

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5
Q

possible organism responsible for stomatitis

A

B hemolytic strep

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6
Q

localized trauma, white ulcer with erythematous halo (aka shallow ulceration on erythematous base); can be viral or immunologic

A

aphthous ulcers

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7
Q

which viral is likely responsible for aphthous ulcer/stomatitis

A

HHV #6

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8
Q

how is aphthous ulcer tx?

A

topical steroids like kenalog, orabase or cripps

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9
Q

reactivation of varicella virus with age; vesicles surrounded by erythematous borders; follows trigeminal distribution

A

herpes zoster

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10
Q

3 things herpes zoster could progress to

A

tooth loss, osteomyelitis, mandibular necrosis

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11
Q

vesicular eruption adjacent to vermillion border

A

herpes labialis

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12
Q

white exudate on erythematous base; no bleeding when scraped; in immunocompromised hose or recent abx use

A

oral candidiasis

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13
Q

familial predilection; desquamation of filiform papillae; migratory loss of unknown etiology

A

geographic tongue

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14
Q

tongue inflammation associated with Vit B, folate or iron deficiencies or radiation; can be shiny or look like ground beef; burning tongue syndrome

A

glossitis

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15
Q

two organisms responsible for angular cheilitis

A

candida albicans
staph

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16
Q

painful fissures radiating from oral commissure; associated w/ drooling, nasolabial folds, denture use

A

angular cheilitis

17
Q

reticular or erosive mucosal; flexor surface cutaneous involvement with variable pain and course

A

lichen planus

18
Q

how is lichen planus tx?

A

tx oral lesions w/ topical steroids (triamcinolone acetonide)

19
Q

blending of vermillion border with crust formation on elderly sun exposed male; premalignant change to well differentiated skin cancer

A

actinic elastosis

20
Q

how is actinic elastosis tx

A

superficial excision/resurfacing

21
Q

reactive fibrous proliferation from trauma; firm/hard well demarcated with normal overlying mucosa

A

oral fibroma

22
Q

asymptomatic bony deposition in either mandible or palatine that can interfere w/ denture use

23
Q

sessile or pedunculated growth d/t HPV 16 or 18

A

oral papilloma

24
Q

how are oral papillomas tx?

A

surgical excision if causing symptoms

25
dark spot with aggressive behavior and cancerous
malignant melanoma
26
how are malignant melanomas tx?
surgical excision
27
ulcerative, painful lesions typically with one sided throat pain radiating to neck with hx of smoking, drinking, bad oral hygiene or betel nut chewing
squamous cell carcinoma
28
tx of squamous cell carcinoma
surgical excision
29
fibromyalgia
muscular d/o with diffuse MSK pain
30
stages of disk displacement
painless click then painful click then locking and reduced opening
31
how is disk displacement tx
nsaid splints pt
32
how does late painful clicking with disk placement mean
disk has work away, refer!
33
tx of mandibular dislocation vs fracture
dislocation requires sedation/relaxation then manual reduction while fracture needs fixation and oral steroids or abx (PCN or clinda)
34
sx of TMJ d/o
periauricular pain bruxism jaw popping/clicking/grinding
35
how is trauma tx
viscious lidocaine tetracycline/nystatin/hydrocortisone/diphenhydramine solution (cripps mouthwash)