2: Oral manifestations of systemic disease Flashcards Preview

Gastrointestinal Week 3 2016/17 > 2: Oral manifestations of systemic disease > Flashcards

Flashcards in 2: Oral manifestations of systemic disease Deck (53):
1

What papillae are found in a V shape towards the posterior end of the tongue?

Circumvallate papillae

2

Foliate papillae are associated with which lymphatic tissue?

Tonsils

3

What is an exostosis?

Cartilaginous growth off a bone as part of normal development

4

What normal bony growths are found underneath the tongue?

Torus mandibularis

5

If you have any doubt over whether or not an oral finding is normal, what should be done with the patient?

Referred

6

What is angular cheilitis also known as?

Angular stomatitis

7

What is the underlying cause of angular cheilitis?

Anaemia

Haematinic deficiency (iron, Vitamin B12 and folate)

8

What does angular cheilitis look like?

Inflammation of corners of lips

9

What do mouth ulcers look like?

Superficial

Round

Yellow

10

Apthous ulcers are (a one off / recurrent).

recurrent

11

What causes apthous stomatitis (mouth ulcers)?

Anaemia

Haematinic deficiency (Iron, Vitamin B12 or folic acid)

12

What is haematinic deficiency?

A deficiency of:

Iron

Vitamin B12

Folate

13

People with recurrent mouth ulcers should be screened for which GI diseases?

(Which testing method is used?)

Coeliac disease; IBD

IgA-tTG test; Colonoscopy

14

Which disease, other than coeliac disease, can cause mouth ulcers due to damage to the oral mucosa and malabsorption?

Crohn's disease

15

Recurrent oral ulceration is, in general, an indication of ___ disease.

GI

16

In Crohn's disease, ulcers are similar to those seen in deficiency - where are they found?

Crevices in the mouth

17

What aspect of the oral cavity can be inflamed in Crohn's disease?

Gingiva

18

What may be found in the inferior midline of the oral cavity in Crohn's disease?

Mucosal tags

19

What may be found in the palate of Type II diabetes patients?

Thrush

Oral candidiasis

20

Upon scraping thrush from a patient's palate, what would you see?

Erythema

21

Who else may develop oral candidiasis?

Asthmatics who use ICS

22

Oral thrush is a marker of ___ control of diabetes.

poor

23

What endocrine disease is oral thrush an indicator of?

Type II diabetes

24

Oral symptoms may occur as an adverse reaction to ___.

medication

25

What is nicorandil used to treat?

What class of drug is it?

Angina

Kchannel activator

26

What oral reaction do patients have to nicorandil?

Mouth ulcers

insert pic

27

If a patient develops ulcers anywhere after starting on nicorandil, what should you do?

Stop using it

28

Where else may nicorandil-related ulcers appear?

GI tract (bad - bleeding, peritonitis)

Conjunctiva

Anus

29

What disease causes lesions in the mouth, skin etc. and is potentially malignant?

Lichen planus

30

What kind of oral lesions are caused by lichen planus?

White thready lesions

Wickham's striae

31

Lichen planus can also cause inflammation of the ___.

gingiva

32

Can lichen planus lesions be removed by scraping?

No

33

Oral manifestations of lichen planus tend to appear (unilaterally / bilaterally).

bilaterally

34

What anti-hypertensive drug can cause lichen planus?

ACE inhibitors

35

What dental procedure can cause lichen planus?

Fillings

36

The causes of the vast majority of lichen planus are ___.

unknown

37

How is lichen planus diagnosed?

Biopsy

38

How is lichen planus treated?

Usually isn't - symptom management only

Topical steroids

39

What is a rare condition which has both oral and conjunctival manifestions?

Mucous membrane pemphigoid

40

What is seen in the mouth of someone with mucous membrane pemphigoid?

Blisters

41

Oral mucous membrane pemphigoid ___ without issue.

Conjunctival mucous membrane pemphigoid can cause ___ and __ __ __.

heals

scarring , loss of sight

42

Who should someone with mucous membrane pemphigoid be referred to?

Opthalmologist

43

What rheumatic disease has oral manifestations?

Sjogren's syndrome

44

What is the oral manifestation of Sjogren's syndrome?

Dry mouth

45

Who should a patient with dry mouth associated with Sjogren's syndrome be referred to?

Rheumatologist

46

If your tongue spatula, or dental mirror, or gloved finger is sticking to the inside of the patient's mouth, what do they have?

Dry mouth

47

Patients with a dry mouth tend to have ___ saliva.

foamy

48

There are a lot of oral signs indicating ___ infection.

HIV

49

Which oral infection, also seen in those with Type II diabetes, is seen in the oral cavities of HIV / AIDS sufferers?

Thrush / oral candidiasis

50

What is hairy leukoplakia?

What acute infection does it indicate?

What chronic infection does it indicate?

Lesions on the lateral aspect of the tongue with a hairy appearance

Epstein-Barr virus

caused by HIV

51

If hairy leukoplakia or Kaposi's sarcoma are found in a patient's mouth, what should they be tested for?

HIV / AIDS

52

What type of oral cancer is seen on the tongue?

Squamous cell carcinoma

53

Where in the mouth is squamous cell carcinoma found?

Tongue