ORAL PATH REVIEW POWERPOINT 2 Flashcards
Taumatic Ulcer: anything lasting for more than _______ should be biopsied
2 weeks
NAME THAT CONDITION: unknown cause and not infectious; found on NON-KERATINIZED tissue; 3 forms are minor, major, and herpetiform; red halo surrounding central yellow/ white area
Apthous Stomatitis
What are the three forms of Apthous Stomatitis?
Minor, Major, Herpetiform
What is the treatment for Apthous Stomatitis?
Corticosteroids
________ herpes can be found on BOTH keratinized and non-keratinized tissue
PRIMARY
Which type of herpes outbreak is associated with fever, malaze, and lymphadenopathy (but may be subclinical)?
Primary
Which type of herpes outbreak is typically asymptomatic?
recurrent
_______ herpes found on keratinized tissue only
RECURRENT
Name that type of herpes: prodrome usually proceeds
recurrent
Name that type of herpes: found in the same location
recurrent
How long do you have to tx Primary Herpes?
within 3 days
What can you treat Primary Herpes? What is the tx regimen? (for children and adults)
A-CYCLOVIR (A is primary) suspension rinse and swallow 5x/day. Children 15mg/kg. Adults 200mg
What can you treat recurrent herpes with? What is the tx regimen?
VAL-cyclovir 1g tablets (Valtrex). Disp 4 tablets. 2 tablets at onset of symptoms then 2 more 12hrs later
Name that condition: unilateral distribution on skin and intraorally (following a dermatome). What’s the causative agent?
herpes zoster…HHV3 vericella zoster
What are the 4 types of LONG duration (months) GENERALIZED VESICULOEROSIVE lesions?
1.Pemphigus Vulgaris 2.Pemphigoid 3. Erosive Lichen Planus 4.Lupus
What is the only example of a SHORT duration (days) generalized vesiculoerosive lesion?
Erythema Multiforme
What is the only example of a SHORT (days) or LONG (months) generalized vesiculoerosive lesion?
Drug-induced mucositis
A positive Nikolsky sign is the induction of a ______ by lateral pressure or application of air
BULLAE
Pemphigus Vulgaris is an autoimmune disease attacking epithelial __________..is this in keratinized or non-keratinized tissue?
desmosomes…does not discriminate between karatin/non-keratin
Lupus Erythematosis: what are the two kinds?
SLE and chronic cutaneous lupus erythematosis
What are the three main areas affected by SLE? What are the consequences of each area?
1.Heart-endocarditis 2.kidney-renal glomeruli (glomerulonephritis); 3. skin-butterfly rash on face
50% of ERYTHEMA MULTIFORME has no predisposing factor. The other half can be due to what 3 causes??
1.herpes 2.pneumonia 3.medications
What is the name for MAJOR erythema multiforme?
Steven Johnson’s syndrome
Besides the minor and major forms of erythema multiforme, what is the third type?
Toxic Epidermal Necrolysis
What are the 3 KEY FEATURES of Erythema Multiforme?
1.ACUTE onset (days) of generalized oral ulcerations 2.TARGET Lesions (not always present) 3. BLACK crusty lips
The typical name for inflammatory bowel disease affecting anywhere from the oral cavity to the anus:
Crohn’s disease
Where are the lesions of Crohn’s disease most commonly found? What is the CARDINAL SIGN?
small intestines..cobblestoning of the mucosa
What are the 4 oral manifestations of Crohn’s Disease?
- Labial Swelling 2. Apthous ulcers 3.Mucosal tags 4.Granulomatous gingivitis
Inflammatory fibrous hyperplasia is also known as
Epilus Fissuratum
Which part of a denture is most commonly to blame for an epilus fissuratum?
the flange
If the flange of a denture mainly causes inflammatory FIBROUS hyperplasia, what does the intaglio surface of the denture cause?
inflammatory PAPILLARY hyperplasia
Where is the most common place for a denture leaf fibroma?
hard palate