Oral Ulceration Flashcards
what mucosal reactions can give oral ulceration
trauma
immunological
carcinoma
infections
GI
what gives single episode oral ulceration
trauma
first episode of recurrent oral ulceration
primary viral infections
oral squamous cell carcinoma
what are the 3 forms of aphthous ulceration
minor, major, herpetiform
what are the types of recurrent oral ulceration
aphthous ulcers
lichen planus
vesiculobullous
recurrent viral lesion
trauma
systemic disease
what type of ulcer recurs in different places
aphthous ulcers
what ulcers recur in the same place
viral ulcers
what are aphthous ulcers associated with systemically
haematinic deficiency
what is characteristic of a crohn’s specific ulcer
linear at the depth of the sulcus
full of crohn’s associated granulomas
persist for months
what history do you take for ulcers
where
size and shape
blister or ulcer
how long for
recurrent in same or different sites
painful
ulcer free period
what do you look for when examining an ulcer
margins - flat/raised/rolled
base - soft/firm/hard
surrounding tissue - inflamed/normal
systemic illness
covered by granulation tissue or fibrous exudate?
what is the pattern of recurrent herpetic lesions
on the one nerve group/branch
where do recurrent herpetic lesions usually occur
hard palate and same place each time
if a herpetic lesion is painful what type of herpes would this suggest
herpes zoster
what do you treat recurrent herpetic lesions with
systemic acyclovir
how can you tell if an ulcer is aphthous
affects exclusively the non-keratinised mucosa
