Oral Medicine Flashcards
Name 3 Oro-facial soft tissue infections (3)
- Primary Herpes
- Herpangina
- Hand Foot and Mouth
What causes Primary Herpes?
- Herpes Simplex Virus I
* Transmitted by droplets
What are the symptoms of Primary Herpes?
- Fluid filled vesicles
- Severe oedematous marginal gingivitis
- Fever
- Headache
- Malaise
- Cervical Lymphadenopathy
How is primary herpes treated?
- Rest
- Soft diet & water
- paracetamol
- Antimicrobial Gel/mouthwash
- Aciclovir for immunocompromised children
What exacerbating factors can cause a primary herpes outbreak?
- Sunlight
- Stress
- Other causes of ill health
Herpangina & Hand Foot and Mouth are caused by which virus?
*Coxsackie A Virus
Where in the mouth does Herpangina affect?
*Vesicles in the tonsillar/Pharyngeal region
Where does Hand Foot and Mouth affect the body?
- Ulceration on the gingiva/tongue/cheeks/palate
* Maculopapular rash on the hands and feet
What is an oral ulceration?
Localised defect in the surface of the oral mucosa where the epithelium has been destroyed leaving inflamed connective tissue
What 10 things should we know about a patient with Oral Ulcerations?
- Onset
- Frequency
- Number
- Site
- Size
- Duration
- Exacerbating factors
- lesion in other areas
- associated medical problems
- Treatment so far
What can cause oral ulceration?
- Infection
- Immune mediated disorders
- Vesculobullous disorders
- inherited or acquired immunodeficiency disorders
- neoplastic/haematological
- Trauma
- Vitamin Deficiencies - iron, b12, folate
- Recurrent Apthous Stomatitis
What is the most common cause of ulceration in children?
Recurrent Apthous Ulceration
What 3 patterns does RAU take?
- Minor <10mm (heal 7-14 days)
- Major >10mm (Heal several weeks potentially)
- herpetiform 1-2mm (multiple ulcers)
What are the aetiological factors regarding RAU?
- hereditary predisposition
- Deficiency disorders
- Allergic disorders - Sodium Lauryl Sulphate
- Hormonal Disturbance
- stress
What investigations should you carry out to determine RAU?
- Diet Diary
- FBC
- Haematinics (Folate/B12/Ferritin)
- Coeliac Screen