Unit 2 - part 2 Flashcards
What do we call a RED lesion when we dont know the cause?
Erythoplakia
There are currently ______ forms of Herpes?
8
What is the term for a FIRST encounter breakout of Herpes?
Primary Herpetic Gingivostomatitis
80% of the time is is herpes ___ or ___ when found in the oral cavity?
1
2
Which herpes simplex virus comes back more often?
2
What herpes virus causes Kaposi’s sarcoma?
CMV Cytomegaly Virus
Epstein-Bar virus causes what common disease?
Infectious Mononucleosis
Recurrent Herpes lesions or commonly called _____ ______ are __ lesions that are found on the _____ gingiva?
Cold Sores, Fever Blisters etc.
single
attached
Where does the herpes virus live while dormant?
Trigeminal Ganglion
A cold sore lasts how long?
7-14 days
Herpes Zoster or _______ affects what age group?
Shingles
60 and over
Shingles is preceded by ______ and comes from the ______ region affecting the _____?
pain
spinal
trunk
What is the etiology of Shingles?
Vericella zoster (chicken pox)
What is the term for a canker sore?
Apthous ulcer
Canker sores appear on the _____ side of the mouth on the _______ gingiva?
wet
unattached
What is the term for herpes under the nail bed?
Herpetic Whitlow
The etiology of a canker sore is ______ but probably due to?
unkown
immune reaction to hemolytic strep
TB is a ______ associated disease?
lung
If TB affects the mouth it looks like an _____ or an ____ of the mucous membrane?
abcess
ulcer
What is the tx for someone who gets TB?
INH therapy
(6 mo antibiotic therapy)
What is the pathognomonic for syphilis?
Spirochete-treponema pallidum
What accompanies the primary syphillis stage?
Big Chancre for 2-3 wks
The secondary stage of syphilis is affiliated with?
Flue-like symptoms with a mucous patch
(weeks/months later)
What is the tertiary (3rd) stage of syphilis affiliated with?
Gumma (rubbery lesion in palate)
Glossitis
Death!!!
(1-20 yrs later)
What is the most common fungal infection in the oral cavity?
Candidiasis
Oral Candidiasis is often called _______ and has a smooth, _____ or ____ plaque that _____be wiped off?
thrush
white
yellow
can
What will the tissue look like if a yeat infection has been wiped away?
Red (on fire)
Older people who get thrush can present with?
Angular Cheilitis
What is the term for a common wart in the oral cavity?
Oral Verruca Vulgaris
What is a wart in the oral cavity caused by?
HPV
What age is the peak time to get a HPV vaccination?
11
What strains of HPV cause genital/oral warts?
6 And 11
What strains of HPV cause cervical cancer?
16, 18
Fordyce Granules are a _______ condition that presents as ectopic ______glands found in the _____ _____ of the mucosa?
normal
sebaceous (oil)
lamina propria
What is a raised, white irregular line on the buccal mucosa at occlusal plane level that CAN’T be wiped off?
Linea Alba
What is a white-grey film “saran-wrap” look to the buccal mucosa that CANT be wiped off?
Leukoedema
What are yellow creamy spots cound mostly in buccal mucosa with preponderance in males?
Fordyce Granules
What is the name for Cheek Biting?
Morsicatio Buccarum
What are two common causes of CHEMICAL burns of the mouth?
Bleach
Asprin
Chemicals burn mucosa either through ____ or _____ reactions?
Systemic (allergic)
local
What is an inherited disease resulting in clusters of capillaries with enlarged ends?
Hereditary Telangectasia
What is the correct term for “ red with multiple forms”
Erythema Multiformi
What is the pathonomonic for Erythema Multifomi?
Target lesions on hands
Erythema Multiformi has a _____ duration and is believed to be caused by _____?
2-3 wk
hypersensitivity reaction
We will most likey see what in the mouth of someone affected by Erythema Multiformi?
White (yellow-gray) covering over the ulcer
What is a RARE mucous membrane disease with large bullae that rupture into ulcers?
Pemphigus
What is the test that is performed to test for Pemphigus?
Nikolsky Test - rub tissue and see if vesicles appear
In Pemphigus the top layer of the _____ come sunglued at the _____ attachment site. This is termed?
OE
desmosome
Acantholysis
A hyperpigmentation of the buccal mucosa is caused by?
excess melanin in basal layer
Hyperpigmentation of buccal mucosa is often found in what disease?
Addisons (adrenal insufficiency)