Oral Ulceration

Question 1

Causes of ulcers

Answer 1

Trauma
Infections - viral, bacterial, fungal
GI - crohns, ulcerative colitis
Immunological
Carcionma

Question 2

Recurrent aphthous ulcers

Answer 2

oral ulcers that is immunologically generated

Question 3

Minor aphthous ulcers

Answer 3

<10mm in size
heal within 2weeks with no scarring
found on non keratinsed mucosa - not ging or hard palate
round oval shape with red halo

Question 4

Major aphthous ulcers

Answer 4

> 10mm in size
can lasts for months and can heal with/without scarring
Found on non keratnised or keratinised mucosa
oval or irregualr shaped

Question 5

Herptiform ulcers

Answer 5

least common
heal within 2 weeks
multiple small ulcers on non keratinsed mucosa

Question 6

Oro-genital ulcers

Answer 6

3 episodes of mouth ulcers in 1 year
at least 2 of - genital sores, skin ulcers or eye inflammation

Question 7

Predisposing factors to aphthous ulcers

Answer 7

Stress
Hormonal level flucatations
Mechanical injuries
Genetic predispoition
Systemic diseases
Viral and bacterial infections

Question 8

Investigations for ulcers

Answer 8

Blood tests - iron, folic acid, vit B12
Allergy testsing
Liver function test
GLucose tests
Biopsy if needed

Question 9

Treatment for ulcers

Answer 9

avoid dietary triggers
correct blood deficiencies
non topical steriods - chx mw or benzadamine mw
Topical steriods - betamethasone mw or beclometasone inhaler

Question 10

What is an ulcer

Answer 10

it is a breach in the epitheliu that exposes underlying connective tissue

Question 11

Mucocuatneous casues of oral ulceration

Answer 11

Lichen planus
Pemphigoid
Pemiphigus
Erythem multiforme