THRUS

Question 1

Def of thrush

Answer 1

an opportunistic fungal overgrowth of the lining of the mouth

Question 2

Predispositions

Answer 2

people who have taken antibiotics or corticosteroids
who are debilitated, such as patients with AIDS,
leukemia,
chemotherapy,
xerostomia,
endocrine disorders.

Question 3

What is the most common manifestation of

oral candidiasis

Answer 3

Thrush

Question 4

Can you wipe off the white slough?

Answer 4

yes

Question 5

How do you diagnose thrush

Answer 5

wet prep with potassium hydroxide
(may show nonseptate mycelia. Biopsy will show intraepithelial pseudomycelia)

(2) White “curdled milk” or “cottage cheese” like build up on dorsum of tongue, soft palate, or oropharynx.

(3) Can be easily scraped off with a tongue depressor revealing erythematous and
sometimes bleeding tissue.

(4) Higher concentration under appliances.
(5) May present on commissure of lips and cause angular cheilitis.

(6) Uncommon symptoms:
(a) Pain, may feel like burning.
(b) Dysphagia and hoarseness of voice.
(c) Metallic, acidic, salty, or bitter taste.

Question 6

How do you treat thrush

Answer 6

Fluconazole 100 mg x 7 days

Question 7

Disposition of thrush

Answer 7

ROB