random for test Flashcards
if give topical steroids - what to be weary of
oral cavity should be monitored for emergence of fungal infection on patients who are placed on topical steroid therapy
recurrent apthous ulcer occurs where
less keratinized tissue
HSV-1 occurs where usually
highly keratinized tissue
reverse count of CD4 and CD 8 puts at risk for?
fungal and viral infections
shooting pain think of
vericella zoster
when should we be monitoring urine output?
acyclovir — increased risk of renal dysfunction in patients having nephrotic agents
**half life of this drug is dependent on the patients renal function
use of corticosteroids is contraindicated with
vericella zoster/ herpes zoster
if lesion changes ever do what type of biopsy?
excisional
cause of melanocyte usually
increase in MELANIN SYNTHESIS – NOT and increase in numbe` of melanocytes
what is the CLINICAL diagnosis of the white plaque
leukoplakia
if treat with topical steroid what should you prophylactically treat?
antifungal
because supress immune function with steroids
erythema multiform
basics
IGm
vasculitis with SUPERFICIAL VESSLES
PEMPIGUS VALGARIS VS MUCOUS MEMBRANE PEMPHIGOID
both IgG
vulgaris - positive noclisky and tzank smear and against desmisomes
predisone / steroid precautions**
drug induced secondary ADRENAL SUPPRESSIVE effect – so secondary adrenocortical insufficiency
salt and water retention with INCREASED SECRETION of potassium and calcium
associated with HHSV - 8
kaposis sarcoma
langerhans cells with
oral hairy leukoplakia
mutation in hairy leukoplakia
G to A hypermutation in env env gene of HIV might occur in oral mucosa of this patient
protease inhibitor does what
inhibits viral protein assembly
kaposis is proliferation of what cell type + describe histo
ENDOTHELIAL ( which are spindle or oval shaped)
- red blood cells under microscope are mainly **extravasated from the ill-defined vascular spaces
AZT is agianst
inhibits HIV viral reverse transcriptase
secondary infection may slow healing involved with?
herpes zoster / varicella zoster virus
do not need antifungal prophylaxis with what medication
acyclovir
deposition of __ in erythema multiform
IgM and C3in SUPERFICIAL VESSELS
think of ___ taking with erythema multiform
sulfonamides
when do you need to use antifungal prophylaxis
when presccribe steroid
may see decrease in hemoglobin in?
iron deficiency – tongue is more likely to be smooth and red (vs beefy red in pernicious anemia)
scattered red lesions on the tongue - atrophic changes think
atrophic candidiasis
causes atrophic changes to the filiform papillae
viral infection in the salivary gland and where?
mumps – parotid and submnadibular sublingual sometimes
by paramyxoviirus
HIV infection in salivary glands?
unknown etiology
- parotid gland more likely
multicentric cyst in the salivary glands
CD 8 lympocytes
salivary gland more afffeected in bacterial infection
parotid
because more bacteriostatic properties in submandibular saliva
where does sialolithiasis occur and why? *
these are STONES
- submandibular glands have more viscous glycoprotein consistency of the secretions
