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Gastroenterology > Oral Manifestations > Flashcards

Oral Manifestations Flashcards

1
Q

Causes of ulcers (7)

A 
Haematological disease
Gastrointestinal disease
Autoimmune conditions
Neoplastic conditions
Infective conditions
Metabolic disease
Drugs side effects
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2
Q

Presentation types of ulcers (2)

A

Solitary

Multiple

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3
Q

Solitary ulcer causes (2)

A

Physical or chemical

Exclude trauma

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4
Q

Solitary ulcer malignancy description

A

Oral squamous cell carcinoma

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5
Q

Infective solitary ulcer causes (3)

A

TB
Tertiary syphilis - Gumma
Premalignant lesion

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6
Q

Recurrent aphthous ulceration - Multiple ulcers properties (4)

A

3 types - Major, minor, herpetiform
Patient usually well
Could be stress related
Exclude haematinic deficiency and GI disease

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7
Q

Bechet’s - Multiple ulcers

A

Multisystem condition
hereditary systemic vasculitis
Presents with genital ulceration, uveitis, erythema nodosum

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8
Q

Anaemia characteristics (6)

A 
Mucosal pallor
Oral ulceration
Glossitis - Tongue inflammation
Angular stomatitis  - Red swollen patches at mouth corners
Predisposition to candida
Disturbed taste
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9
Q

Infective multiple ulcer example and properties

A

Primary herpetiform gingivo-stomatitis - Inflammation of oral mucosa and gingiva
Initial presentation of herpes simplex infection
Most common viral infection of mouth

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10
Q

Mucocutaneous disorders examples (3)

A

Lupus Erythematosus
Lichen Planus - Itchy, non infectious rash on limbs
Vesiculobullous disease - Pemphigus and Pemphigoid

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11
Q

Lichen Planus features (4)

A

Bilateral
Asymptomatic
Can affect skin
Potentially malignant

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12
Q

Lupus Erythematosus presentations (3)

A

Can be discoid (disc shaped) or systemic
Ulcerations
White with/without red patches

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13
Q

Vesiculobullous disease - Pemphigus Vulgaris properties (2)

A

Oral lesions are first manifestation and precede skin lesion by a year or more
Painful ulcers preceded by blisters

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14
Q

Vesiculobullous disease - Pemphigoid presentations (3)

A

Benign mucous membrane
Blisters and painful ulcers observed
Affects mucous membrane of other organs like eyes

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15
Q

GI diseases causing oral manifestations (2)

A

Crohn’s

Ulcerative Colitis

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16
Q

Crohn’s disease oral presentation (6)

A 
Cobble-stoning of mucosa
Localised mucogingivitis
Linear ulceration
Tissue tags/polyps
Diffuse swelling of lips
Pyostomatitis vegetans - Small, superficial yellow pustules
17
Q

Ulcerative Colitis oral presentation (3)

A

Pyostomatitis vegetans
Angular stomatitis
Exacerbation and remission indicates severity of disease

18
Q

White patches that wipe off are

A

Pseudomembranous candidiasis/thrush

19
Q

White patches that don’t wipe off are caused by (4)

A

Trauma
Epithelial dysplasia
Neoplasia
Chronic mucocutaneous candidiasis

20
Q

White patches that don’t wipe off indication

A

Consider haematinic deficiency or immunosuppression

21
Q

Oral pigmentation causes (5)

A

Race
Malignancy
Smoking
Melanotic macules - Well-defined, oval, brown to black, flat patch on central third of lower lip
Addison’s disease - Excess ACTH/MSH release and reduced cortisol levels

22
Q

Xerostomia (Dry mouth) causes (3)

A

Drugs
Sjogren’s syndrome
Radiation therapy

23
Q

Sjogren’s syndrome properties (4)

A

Dry eyes and mouth
More common in women
Can be primary or secondary
When secondary it is associated with other autoimmune disease

24
Q

Sjogren’s syndrome presentations (5)

A 
Enlarged salivary glands
Increased cavities
Depapillated fissured tongue
Red dry wrinkled mucosa
Increased predisposition to candida
25
Q

Dental erosion indication and causes

A

Erosion on palatal surfaces of upper anterior teeth

Causes are gastro-oesophageal reflux disease or bulimia

26
Q

Leukaemia oral presentations (7)

A 
Petechiae - Tiny purple, red or brown spots on 
skin
Gingival enlargement
Mucosal bleeding
Ulceration
Malignant cell infiltration
Boggy gingivae
Immuno-compromised presentation - Candida, herpes, opportunistic infection
27
Q

Lymphoma presentations (4)

A

Palpable lymph nodes
Extra/intra oral diffuse swellings
Ulceration
Tooth migration/mobility

28
Q

HIV oral presentations (4)

A

Ulceration
Kaposi’s sarcoma - Purple masses in skin or lymph nodes
HPV lesions
Salivary gland swelling

Gastroenterology (11 decks)

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