Systemic Flashcards
Fatigue, depression, weakness, hypotension, nausea, anorexia, weight loss, patchy oral mucosal pigmentation
Addison’s disease
Hypoadrenocorticism
45 yo female w/ weight gain, moon facies, buffalo hump, hirsutism, muscle wasting, weakness, hyperglycemia, hypertension, depression. Most common cause of this condition?
Steroids
Cushings syndrome
42 year old male presents w/ headache, visual disturbances, course facial features, mandibular prognathism, spaced teeth, macroglossia, and enlarged hands. Most likely cause?
Acromegaly
34 yo female presents with broken tooth. Nervous. Tachycardia, tremor, warm skin, diaphoresis, exophthalmos, and a goiter. What do these findings suggest?
Hyperthyroidism
Grave’s disease - thyrotoxicosis
52 yo female w/ puffy facial features, macroglossia, dry course hair, a husky voice, bradycardia. Complains of fatigue and office is too cold. What do these findings indicate?
Myxedema
Hypothyroidism
9 yo female w/ round puffy facial features, macroglossia, delayed dental development, short stature, and reduced intelligence
Cretinism
Hypothyroidism
Oral and maxillofacial complications of diabetes mellitus?
Xerostomia
Periodontal disease
Candidiasis and mucormycosis
Bilateral parotid enlargement
36 yo female with erosive lichenoid oral lesions involving BM/gingiva/vermillion border. Photosensitive malar facial rash, low grade fevers, fatigue, myalgias, and arthritis. Biopsy shows lichenoid and perivascular lymphocytic infiltration. diagnosis?
Systemic lupus erythematous
Elderly female with fatigue, shortness of breath, headache, a burning tongue, parasthesias of extremities, and ataxia. CBC shows megaloblastic anemia
Pernicious anemia
50 year old female with fatigue, shortness of breath, headache, burning oral discomfort, and esophageal webs w/ dysphagia. CBC shows a microcytic hypochromic anemia
Oral-esophageal cancer
Plummer-Vinson syndrome
Homeless elderly male alcoholic patient presents with diffuse petechial hemorrhages and marked gingival swelling/inflammation. These findings are most compatible with which one of the following conditions?
Vitamin C deficiency
Scurvy
Child with coarse facial features, macroglossia, gingival hyperplasia, unerupted teeth with enlarged follicles, corneal clouding, reduced vision, growth retardation, skeletal deformities, stiff joints, and mental retardation
Mucopolysaccharidosis
50 year old female with swelling of the right mandible. Radiographs show mandibular RL. Reduced bone volume, loss lamina dura. Biopsy shows CGC lesion
Hyperparathyroidism
Child with premature loss of mandibular deciduous incisor teeth. Histologic exam of tooth shows lack of cementum on root surface. Diagnosis?
Hypophosphatasia
Adolescent with mental retardation, spotty alopecia, cataracts, enamel hypoplasia, delayed dental development, and mucocutaneous candidiasis.
Hypoparathyroidism
38 year old female w/ microstomia, dysphagia, and radiographic changes including diffuse widening of the PDL space and resorption of the posterior border of the mandibular ramus
Systemic sclerosis
Scleroderma
Adult male with symptomatic cutaneous and oral findings (pics of rough areas in skin, papillary, skin lesions pigmented, oral lesions not as pigmented or not at all). Which of the following could be associated with this condition?
Acromegaly
Addisons
Gastroesophageal adenoma
Diabetes
Condition is acanthosis nigricans
26 yo female with complaint of oral discomfort. Exam reveals diffusely erythematous oral mucosa with yellow slightly elevated, serpentine snail tract pustules on the palate, ventral tongue, buccal and labial mucosa
IBS
Pyostomatitis vegetans
Hospitalized pt with diffuse oral burning oral discomfort, a bad taste in their mouth and multiple white plaques on tongue, floor of mouth, and buccal mucosa. Strong smell of ammonia detected on pts breath
Uremia
Uremic stomatitis
Elderly male with macroglossia, multiple yellow-tan submucosal nodules on lateral tongue borders. Pt also complains of bone pain and fatigue. Tongue biopsy shows diffuse deposits of pink hyaline proteinaceous material that shows apple green birefringence under polarized light with congo red stain
Multiple myeloma with amyloidosis
24 yo male with conjunctivus, urethritis, and arthritis following a chlamydia infection – can’t see, pee, and climb a tree. Has circinate balanitis and similar appearing oral lesions
Reiter’s Syndrome
27 yo male with major oral aphthous ulcerations. Conjunctivus, genital ulcerations, and arthritis
Behcet’s Syndrome
Multiple mucosal neuromas associated with:
Multiple endocrine neoplasia
Strawberry gingivitis
Wegener’s granulomatosis
32 yo black female with violaceous skin lesions, bilateral hilar adenopathy, pulmonary infiltrates, eye inflammation, periodontal bone loss, dry mouth, parotid enlargement. Biopsy shows non necrotizing granulomas
Sarcoidosis
26-Gingival hyperplasia, ulcerated erythematous papules/nodules, thick creamy yellow plaques/exudate with bone loss and ocular conjunctivitis?
Plasminogen deficiency
