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Oral Med Flashcards

1
Q

What is this oral lesion?

How would you treat this with medication?

A

Lichen planus

Steroids

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2
Q

What is this oral lesion?

A

Angina bullosa Heamorrgica

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3
Q

What is this lesion?

What is a likely cause of this lesion?

How would you treat this?

A

Herpes labialis caused by HSV1/HSV2 but most likely HSV1

can consider topical anaesthetic and antiviral therapy eg aciclovir

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4
Q

A mother brings her child in and explains that this lump on the chids neck has appareaed recently. It is only on the childs left hand side. What are the causes of unilateral neck lumps?

A

Differential diagnosis of neck swellings in children

Lymphadenopathy (enlarged lymph nodes)

LOCAL CAUSES

Viral or bacterial upper respiratory tract infection leading to lymphadenopathy*

Ear infection*

Oropharyngeal infection

Headlice infestation

Dental abscess

Cat scratch disease

SYSTEMIC CAUSES

Malignancy (lymphoma or leukaemia)*

Viral infections (Epstein-Barr virus, cytomegalovirus, rubella)*

Kawasaki disease*

Mycobacterial infection (tuberculous or non-tuberculous)*

Sarcoidosis

Systemic lupus erythematosus

Juvenile idiopathic arthritis

Lymphadenitis (inflamed lymph nodes) or abscess

Bacterial lymphadenitis*

Mycobacterial lymphadenitis*

Abscess*

Non-lymphadenomatous neck swellings

Cystic hygroma

Sternocleidomastoid swelling

Thyroid gland enlargement*

Thyroglossal cyst

Dermoid cyst

Branchial cyst

Mumps*

*Commonly present to primary care with neck swelling or are particularly important diagnoses to consider

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5
Q

What do these signs and symptoms indicate?

A

Kawasaki disease

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6
Q

What is the likely cause of this oral lesion?

What is the differntial diagnosis?

A

Aspirin Burn causing ulceration

So: Systemic

B: Blood

I: Infection

G: GI

S: Skin

Many: Malignancy

Laws: Local

And: Apthae

Directives: Drugs

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7
Q

What is this?

A

median rhomboid glossitis

cause:Predisposing factors include smoking, denture wearing, use of corticosteroid sprays or inhalers andhuman immunodeficiency virus (HIV) infection.

a type of chronic atrophic (or erythematous) candidiasis

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8
Q

what is this?

A

Macule

diff dx: nevus, melanoma

macule:

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9
Q

What is this?

What disease/s is it associated with?

A

Desquammative gingivitis

Pemphigus

pemphigoid

DH

Sarcoidosis

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10
Q

What is the purpose of a FBC?

A
  • monitor disease activity,
  • to assess the effects of drug treatment,
  • to exclude dietary deficiency
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11
Q

What is measured in a FBC?

A

Haemoglobin (Hb)
ƒƒ
White cell count (WCC or WBC)
ƒƒ
Neutrophils/Granulocytes
ƒƒ
Eosinophils
ƒƒ
Platelets
ƒƒ
Mean cell volume (MCV)

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12
Q

What is the normal range for Hb?

A

Male
13 –18 g dL–1

Female
11.5–15.5 g dL–1

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13
Q

What is the normal value for WBC?

what does a raised WBC suggest?

A

Normal value
4–11x10^9/l

infection

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14
Q

What is the normal range for neutrophil count?

A

Normal value 2 –7.5 x 10^9/l

  • Raised: with infection,steroids, also inflammation
  • Low: side effect of drug treatment, SLE flare, viral infections, severe bacterialinfection
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15
Q

What may a raised eosinophil count suggest?

A

allergic reaction eg asthma

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16
Q

What is the normal range for platelets?

A

150-400 x10^9

17
Q

What is the mean cell volume value?

A

78-104

Low: Fe Def anaemia and Anaemia of chronic disorder

raised:Vitamin B12 deficiency, Folate deficiency, Thyroid problems, Liver problems, Marrow
dysplasia/Aplastic anaemia

18
Q

What happens to the ferritin level with inlfammation and when is ferritin level used?

A
  • it rises
  • Ferritin is used as a test to check for iron deficiency anaemia in patients with a low Hb and low MCV
19
Q

When should B12 and folate be meausred?

A

in people wth raises MCV

20
Q

What are the two inflammatory markers used in blood tests?

A

CRP: sensitive and quantitative measurement
used for evaluating severity and course of an
inflammatory process NB OCP may affect CRP

ESR:Erythrocyte sedimentation rate measures the rate at which the red cells settle. The higher the value the more inflammation. Therefore elevated in activearthritic disorders such as Rheumatoid Arthritis,
Lupus, vasculitis, polymyalgia rheumatica and also malignancies.

21
Q

When is Anti CCP used?

A
  • Anti Cyclic CitrullinatedPeptide Antibody
  • used as diagnosis and indicator of severity of RA
22
Q

interpret these results and what oro facial lesions would you expect to see if each of the components were low and how would this affect your management?

A
23
Q
A
24
Q

Patient presents to you with this? How would you manage in practice? What are the risk factors for this?

A
  • Leukoplkakia : 2% malignant in 10 years, 4% maligant in 20 years
  • Management: referral (2 week?)
  • Risk factors: Smoking, No smoking, Female, Alchohol, HPV
25
Q

Pateint attends to as an emergency from a colleague to have their denture adjusted. You take a ful medica and dental history. On examination you notice this lesion:

Differntial Dx and what type of questions may you ask?

A
  • Malignant melaonoma
  • Basal Cell carcinoma
  • SCC
  • Questions: Major signs: SHape, size, colour. Minor signs: more then 7mm in diameter, itch, inflmmation, crusting
26
Q
A

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