Oral Manifestations Of Systemic Disease Flashcards

1
Q

What is multiple sclerosis?

A
A chronic inflammatory disease of the CNS 
Idiopathic 
Plaques 
Demyelination of axons 
Classification 
Variable symptomology
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2
Q

What are some clinical features of trigeminal neuralgia?

A
Unilateral 
Moderate to severe severity 
Shooting sharp pain 
Exhausting 
Unbearable 
Complete remission after a few weeks or months 
Pain lasts seconds and then leaves 
Provoked by light touch, eating, talking, washing but can also be spontaneous
Relieved by sleep and drugs
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3
Q

What is the classification of respiratory disease?

A

Obstructive
Restrictive- intrinsic, extrinsic
Perfusion
Lung cancers

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4
Q

What are the oral manifestations of respiratory disease?

A

Dental caries
Dental erosion
Periodontal diseases
Oral candidiasis

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5
Q

What is sarcoidosis?

A

Multi-systemic granulomatous condition

Flu-like symptoms

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6
Q

What are the clinical presentations of sarcoidosis?

A
Lupus pernio
-bluish/purple plaque like lesions 
Pahognomonic 
Salivary gland swelling 
Uveitis 
Oral involvement rare- swellings, intraosseous lesions, neuropathy
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7
Q

What are some oral manifestations of cardiovascular disease?

A

Pain in orofacial region can occur drain MI
Colour
Pathological changes
Medication

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8
Q

What are varices?

A

Abnormally dilated veins most commonly seen on the ventral tongue or the floor of the mouth
They tend to become more prominent with increasing age
They are usually asymptomatic and blanch on diascopy

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9
Q

What are some common oral related drug reactions with the cardiovascular system?

A
Burning mucosa
Swellings
Lichenoid reactions
Dry mouth 
Ulceration 
Gingival hyperplasia 
Haemorrhagic lesions- petechiae, purpura, ecchymosis
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10
Q

What are some oral manifestations of coeliac disease?

A
Dental enamel hyperplasia, pitting, grooming, partial loss of enamel 
Delayed tooth eruption 
Aphthous ulcerations 
Oral lichen planus 
Angular cheilitis 
Atrophic glossitis 
Bleeding tendency
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11
Q

What is ulcerative colitis?

A

Inflammatory condition of the GI tract

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12
Q

What are the presenting symptoms of ulcerative colitis?

A

Bleeding from rectum
Urgency
Tenesmus
Diarrhoea

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13
Q

What are some oral signs of ulcerative colitis?

A

Oral ulceration

Pyostomatitis vegetans

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14
Q

What is Crohn’s disease?

A

Chronic granulomatous inflammation of the intestinal wall
An inappropriate inflammatory response to intestinal microbes and other environmental factors in a genetically susceptible host

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15
Q

What are the clinical symptoms of Crohn’s disease?

A
Abdominal pain 
Rectal blood loss 
Diarrhoea 
Decreased appetite 
Weight loss 
Fever
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16
Q

What are the oral manifestations of Crohn’s disease?

A
Diffuse labial and buccal swelling
Cobble stoning 
Mucosal tags
Stag horning 
Deep linear ulcerations 
Mucogingivitis 
Aphthous like ulcers
Pyostomatitis vegetans 
Angular cheilitis 
Persistent submandibular lymphadenopathy
17
Q

What are the oral manifestations of diabetes mellitus?

A
Sialosis 
Xerostomia 
Caries 
Periodontal disease 
Oral candidosis 
Oral dyaesthesia
18
Q

What are the oral manifestations of hypothyroidism?

A

Goitre
Dysgeusia
Macroglossia
Periodontal disease

19
Q

What are the oral manifestations of Addison’s disease?

A

Pale brown or deep chocolate pigmentation
Pressure points
Skin creases

20
Q

What are the oral manifestations of leukaemia?

A
Gingival enlargement 
Bleeding 
Petechial 
Oral ulceration 
Opportunistic infections 
Lymphadenopathy
21
Q

What are some of the oral manifestations of lymphoma?

A

Soft tissue swellings
Radiolucency
Alveolar bone loss and swelling mimicking periodontal disease

22
Q

What are the oral manifestations of anaemia?

A

Mucosal pallor
Atrophic glossitis
Recurrent oral ulceration
Candidiasis

23
Q

What are the oral signs of thrombocytopenia?

A

Epitaxis

Gingival bleeding

24
Q

What are the oral manifestations of renal disease?

A
Bleeding 
Dry mouth 
Amyloidosis 
Halitosis 
Dysgeusia 
Uremic stomatitis 
Gingival hyperplasia
25
Q

What are the oral manifestations of erythema multiforme?

A

Non-keratinised mucosal of anterior mouth
Lips which swell, crack, bleed and crust
Irregular superficial ulcerations
Target lesions

26
Q

What are the oral manifestations of mucous membrane pemphigoid?

A
Epithelium blisters 
Gingivitis 
Bleeding 
Pain 
Dysphagia
27
Q

What are the oral manifestations of pemphigus vulgaris?

A

Intra-epithelial blistering
Ulceration
Fragile bullae
Painful

28
Q

What are the oral manifestations of rheumatoid arthritis?

A
Xerostomia 
TMJ pain, tenderness, swelling
Oral ulceration 
Glossitis 
Angular cheilitis 
Lichenoid drug reaction 
Amyloidosis
29
Q

What are the oral manifestations of systemic lupus erythematosis?

A
Maculopapular rash 
White patches 
Gingivitis 
Oral ulceration 
Glossitis 
Angular cheilitis 
Drug-induced oral lichen planus 
Trigeminal neuropathy 
Amyloidosis
30
Q

What are the oral manifestations of scleroderma?

A
Periodontal ligament widening 
Facial asymmetry 
Thinning of lips 
Microsomia 
Telangiectasia 
Atrophy
Oral ulceration 
Xerostomia 
Caries 
Periodontal disease
Oral cancer
31
Q

What are the oral manifestations of Sjögren’s syndrome?

A
Xerostomia 
Soreness of oral mucosa 
Fractured/carious Seth 
Dysphagia 
Swelling of salivary glands 
Lobular depapillated tongue 
Angular cheilitis 
Cervical caries