Oral Disease Flashcards
What are the 4 main manifestations of disease in the Oral Mucosa?
Ulceration.
Lump.
White Patch.
Red Patch.
What are the commonest causes of Ulcerations?
RAS
Trauma
Tumour
Infection
What are the commonest causes of Lumps?
Hyperplasia
Tumour
Infection
What are the commonest causes of Red Patches?
Vascular
Immune problems
Dysplasia
What are the commonest causes of White Patches?
Trauma
Infection
Immune problems
Dysplasia
What might you see in and around the mouth of someone with Iron Deficiency?
Recurrent Oral Ulcerations Oral Dysaesthesia Oral Candida Angular Chelitis Smooth Tongue
What might you see in the mouth of someone with a disorder like Leukaemia?
Spontaneous oral mucosal bleeding
Usually around teeth and gums
How would Crohn’s disease cause recurrent oral ulcerations?
Direct involvement with oral mucosa
Blood Loss
Malabsorption
How would Coeliac Disease cause recurrent oral ulcerations?
Malabsorption.
What are the direct oral manifestations of Crohn’s disease?
Oral Ulcerations Mucosal tags Cobblestone mucosa Swollen lips Angular cheilitis
What are the signs of GORD witnessed in the mouth?
Dental enamel erosion
Mucosal irritation + fibrosis
What are the signs of Peptic Ulcer disease in the mouth?
INDIRECT EFFECTS
Iron deficiency symptoms
Vomiting (Pyloric Stenosis)
What are the signs of UC in the mouth?
Recurrent Oral Ulceration
Effects of Drug Therapy
(Lesions resolve with colectomy)
What are patients with type 2 diabetes prone to?
Infection.
Such as Thrush. (Acute Psuedomembranous Candidosis)
Which dermatological condition can present in the mouth and cause blindness when left untreated?
Mucous Membrane Pemphigoid.
(Cicatrical Pemphigoid)
Blisters and vesicles form ulcers and then heal with scarring leading to loss of sight.
What are the Oral Manifestations of HIV/AIDS?
Hairy Leukoplakia Kaposi's Sarcoma Candidosis Herpes Lesions Warts Severe Gingivitis
What are the facial manifestations of HIV/AIDS?
Kaposi’s sarcoma
Cervical Lymphadenopathy
Angular Cheilitis
Herpes Zoster
A 40 year olf HIV patient presents with a two day history of pain affecting the right side of his face. He has also noticed a vesicular rash affecting both his mid-face and the right side of his palate. What is it?
Shingles
A 15 year old school girl presents with a two year history of up to five painful mouth ulcers occuring every one/two months. What is it?
Recurrent Oral Ulceration
What is Behcet’s disease and how does it present?
An immunological condition that presents with recurrent orogenital ulceration, ocular disease such as uveitis and can sometimes involve the joints and vascular systems.
Common in Japan and the Med
How does primary syphillis present?
Either with a genital or oral papule that rapidly breaks down into a large painless indurated ulcer
