week 2 Flashcards

1
Q

General findings of oral cavity

A

dryness of mouth, gingiva, palate,breath

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2
Q

recurrent herpes labiallis

A

cold sore- blister ruptures, crusts and oozes

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3
Q

what are the prodromes for herpes labiallis

A

stinging, burning, itching in the area of breakout

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4
Q

reactivation triggers for herpes

A

STRESS, sun, hormones

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5
Q

carcinoma of the lips (SCC most common) SSx

A

painless, sharply bordered, plaque or wart like slow healing

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6
Q

mucocele features

A

blockage of salivary gland: cyst like bubble, moveable, may rupture

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7
Q

angular cheilitis features

A

deep cracks at the corner of the mouth, can become infected with candidas, KOH test for candidas

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8
Q

etiology of ang. cheilitis

A

loss of teeth, bad dentures, bad hygiene, sicca

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9
Q

mouth: mucosal lesions : Lichen Planus features

A

inside of cheeks, buccal region and gingiva: painless lace like white patches less likely to cause cancer

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10
Q

Leukoplakia feautures

A

white patches raised or flat, cannot be rubbed off, flaking white paint (white gray or yellow): precancerous hyperplasia

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11
Q

etiology of Leukoplakia

A

HIV, vit deficiency, oral sepsis, alcoholism

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12
Q

Erythroplakia features

A

red macule, well demarcated on floor of mouth: precancerous

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13
Q

SCC features

A

firm, affixed, hard lesions mostly on floor of mouth: first sign might be a non-tender mass in the neck

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14
Q

melanoma features

A

pigmented lesions scary ABCD- lesions will not blanch

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15
Q

Fordyce’s spots

A

benign granual like lesions from sebacious glands: do not wipe off mostly on the border of the mouth

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16
Q

stomatitis

A

inflammation of oral tissue that is secondary

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17
Q

etiology of stomatitis

A

leukemia, chemicals, alcohol, allergy

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18
Q

Mouth: oral candidias features

A

soft white plaques that bleed when wiped away, major risk factor: immunocompromised people

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19
Q

aphthous stomatitis SSX

A

acute painful ulcerations occur on non-keratinized mucos.. possible t cell mediated

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20
Q

aphthous stomatitis etiology

A

HIV, stress, hormones, food allergies

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21
Q

3 types of aphthous ulcers

A

minor, major, herpetiform

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22
Q

minor, major, herpetiform

A

solitary, shallow, red halo resolves in a week-starts in childhood
ragged edges, painful, lasts up to 6 weeks develop after puberty
small pinpoint ulcers starts in adulthood lasts for a month

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23
Q

oral erythema multiforme SSX

A

Bullae rupture painful -that forms crusts- hemmorrhagic vessicles

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24
Q

oral erythema multiforme prodrome

A

rhinitus, sinitus

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25
Q

chancre SSX

A

painless lesions that are primary form a syphilis- possible genital spreading

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26
Q

angioedema SSX (allergy)

A

swelling, acute non-pitting edema, throat, nose

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27
Q

hereditary angioedema

A

not itchy, more painful, precipitated by stress, trauma

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28
Q

mandibular torus SSX

A

non-neoplastic bone formation

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29
Q

hemangioma SSX

A

raised or flat proliferation of blood vessels- congenital

because of location secondary infection is possible

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30
Q

varicosities SSX

A

tortuous swollen blue veins on ventral aspect of the tongue

blanche when pressed on

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31
Q

papilloma SSX

A

could be caused by HPV and cause warts pedunculated benign growths with finger like projections- asymptomatc

32
Q

lipoma SSX

A

benign slow growing mass of adipose tissue- nontender rubbery and soft

33
Q

salivary gland: sialadenitis SSX

A

benign swelling secondary to may diseases (mumps-painful,cirrhosis, sarcoidosis)

34
Q

Sialolisthesis: SSX

A

salivary duct stones- pain when swallowing

35
Q

Sjögren’s syndrome SSX

A

autoimmune- dry eyes, mouth, mucosal membranes

36
Q

Xerostomia SSX

A

dry mouth caused by drugs, mouth breathing, salivary gland disorders- tooth decay secondary

37
Q

Teeth and gums: gingivitis SSX

A

swollen bright red and blue gums, bleed, sore,receeding gum line

38
Q

gingivitis etiology

A

poor oral hygiene,bad dental restoration, dental caliculi

39
Q

vincent’s angina (ANUG) SSX

A

acute ulcerative infection, punched out appearance, gray membrane, halitosis, bleeds

40
Q

periodontitis SSX

A

infection of the periontium :red, swollen gums with bleeding, pain while chewing, tooth pain with percussion

41
Q

caries

A

a cavity invades dentin: pain with hot and cold, meth mouth

tooth decay

42
Q

toothache and infections causes…

A

apical absess, ludwigs angina, and cavernous sinus thrombosis

43
Q

apical abscess SSX

A

development of infection in the root of the tooth: more pain

swelling of mucosa over the tooth

44
Q

ludwigs angina SSX

A

cellulitis of the floor of the mouth due to infection: fever, malaise,swelling goes from sublingual to maxillary sinus

45
Q

scavernous sinus thrombosis SSX

A

staph or strep in the cavernous sinus leads to blood clot

eye bulge, headache, vision changes

46
Q

tongue issues: can’t move

A

short frenulum, nerve damage

47
Q

deviation of the tongue

A

CN12 problems

48
Q

taste problems due to …

A

meds-chemo, bels pasy, vit. deficiencies, and facial nerve damage

49
Q

color change: geographic tongue

A

benign migratory glossitus, localized loss of papillae, red patches with white circumfrence due to: smoke, alcohol,candidas, leukoplakia, lichen planus

50
Q

hairy tongue SSX

A

distal part of tongue looks black or green and hairy due to hypertrophy of papillae

51
Q

due to…

A

coffee, alcohol, drugs, bad oral hygiene

52
Q

tongue tremor

A

nerve disease, hyperthyroidism

53
Q

smooth tongue

A

atrophy of papillae due to: low HCL, celiacs, low vit.

54
Q

enlarged tongue

A

hypothyroidism, acroamegoly, pernicious anemia, infecttion

55
Q

glossitis SSX

A

swollen tongue, color change, and tender

56
Q

glossitis etiology

A

allergy, infection, poor hydration, syphilis

57
Q

throat: acute pharyngitis etiology

A

infection, bacterial, viral, herpes, foreign bodies

58
Q

bacterial pharyngitis SSX

A

Absence of cough, Tender anterior cervical adenopathy, Tonsillar exudate, History of fever

59
Q

bac. pharyngitis caused mostly by what/ complications

A

GAS group A strep., PANDAS secondary OCD

60
Q

viral pharyngitis mono SSX

A

exudate tonsilitis and marked redness and swelling

61
Q

viral pharyn. adenovirus SSX

A

throat is not red although may be very sore, runny nose, stuffiness

62
Q

Diphtheria SSX (life threatening)

A

dirty gray tough fibrous membrane, fever, nausea

63
Q

tonsillitis

A

acute inflammation of the palatine tonsils

64
Q

tonsillitis SSX

A

sudden onset, fever, nausea

65
Q

3 types of tonsillitis

A

acute:bacterial or viral
subacute: 3wks- 3 mnth- caused by actinomyces
chronic : bacterial firbrotic

66
Q

complications

A

tonsilloliths
peritonsillar abscess
hypertrophy of the tonsils

67
Q

Peritonsillar abscess SSX

A

breath odor, pain in neck, lymph enlargement

68
Q

parapharyngeal abscess

A

serious :markedly swollen anterior triangle in the nec

69
Q

retropharyngeal sSX

A

infection of the deep spaces in the neck medical emergency: jaw stiffness, lump in throat, sore throat all of the other constitutions

70
Q

chronic irritation etiology

A

smoking, alcohol, allergies, spicy food, chronic infection

71
Q

chronic SSX

A

cobblestoning, hypertrophic lymph tissue

72
Q

larynx hoarseness etiology

A

inflammation, polyps, hypothyroidism causes structural changes in vocal chords

73
Q

laryngitis SSX

A

loss of voice: tickling of the throat, hoarsness, voice change

74
Q

epligottitis EMERGENCY SSX

A

infection of the epiglottis: acutely ill, shallow breathing, must sit up on bed, anxiety

75
Q

epligottitis diagnosis

A

do not try to see the throat: lateral C- spine Xray

76
Q

vocal cord polyp SSX

A

benign bilateral lesions: hoarsness, breathy voice, visually identifiable

77
Q

types of lumps in the necks

A
  1. cervical LA- rubbery
  2. neoplasm of the Lymphatic chain- immoveable, hard nd large
  3. salivary gland swelling
  4. medial swelling - thyroid