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Oral med > orofacial infections- fungal and bacteria > Flashcards

orofacial infections- fungal and bacteria Flashcards

1
Q

what are the local predisposing factors to candida albicans?

A

Denture wearing at night

Dry mouth

Steroid therapy

High carb diet

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2
Q

what is the most common fungal infection in the mouth?

A

Candida

it is opputnistic and a commensal

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3
Q

what are the systemic factors which predispose you to candida infection?

A

immunocompromise

extremes of age

Antibiotic therapy

Diabetes mellitus

Anaemia

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4
Q

what are the acute types of oral candidosis?

A

acute pseudomembranous candidosis (thrush)

acute erythemateous candidosis

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5
Q

what are the chronic types of candidosis?

A

chronic hyperplastic candidosis (candidal leukoplakia)

chronic erythematous candidosis (denture stomatitus)

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6
Q

what are the candida associated lesions?

A

Candida associated chelitus

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7
Q

How do you diagnose candida?

A

Swab

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8
Q

How do you manage acute psudomembranous candida?

A

Address the predisposing factors

Always test FBC, Folate, Vit b and random blood glucose as fear may be diabetic.

Can be due to HIV but dont screen every patient.

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9
Q

What does thrush look like?

A

white patches on the mucosa which can be easily removed by wiping to leave and erythematous area underneath.

Can be asymptomastic or can cause soreness.

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10
Q

what is the treatment of thrush?

A

Topical antifungal therapy- Nystatin or miconazole

Systemic antifungal therapy- reserved for the immunocomprimised or those with servere systemic infection.

need to follow up- ensure that is has resolved.

manage risk factors

If got test results back

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11
Q

what is chronic hyperplastic leukplakia?

A

candidal leukoplakia

Non removal white lesions on the buccal mucosa

mostly bilateral and seen in smokers

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12
Q

what is acute erythemateous candidal infection?

A

acute atrophic candidosis

erythematous area

treat by correcting local and systemic factors often steroid inhaler use.

treat with topical antifungal

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13
Q

how do you manage chronic hyperplastic candidosis?

A

identify and correct local and systemic risk factors

Treat with topical antifungal - nystatin/miconazole

Systemic antifungal - fluconazole 50mg o.d for 14 days

Review due to malignancy risk

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14
Q

what is chronic erythematous candidosis?

A

Denture stomatitis

erythema is usually confined to teh hard palate under a denture area.

Often asymptomatic

Treatment is by a topical antifungal and modifying risk factors.

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15
Q

what is this?

A

Median rhomboid glossitus ( it is a candida associated lesion)

Rhomboid region located in posterior 1/3rd anterior 2/3rd border

Topical therapy is sufficient

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16
Q

what is chornic mucocutaneous candiadiasis?

A

It is a chornic and frequent infection of candida

Mucosal, cutanous or nail infections

17
Q

what is this?

A

candida associated candidiasis.

Topical antifungals

18
Q

what is osteomyelitis?

A

inflammation of the bone marrow. occurs in the bones of the jaws

19
Q

what is the cause of ANUG?

A

polymicrobial but prodominatly anaerobic ginigival infection.

20
Q

what are the predisposing factors of ANUG?

A

poor oral hygiene

poor diet

smoking

stress

21
Q

diagnosis of anug?

A

Halitosis

Loss of interdental papilla

lymphadenopathy

22
Q

what is the treatment of ANUG

A

Metronidazole

chlorhexidene rinses

can lead to rapid loss of periodontium

23
Q

what are the two types of suppurative osteomyelitis?

A

acute suppurative osteomyelitus and chronic

24
Q

what are the types of non suppurative osteomylitus?

A

diffuse sclerosing

focal sclerosing

Proliferative periostitis

osteradionecrosis

25
Q

what oral symptoms do you get of primary syphilis?

A

Chancre and regional lymphadenopathy

26
Q

what is the treatment of syphilis?

A

benzathene penicillen for 1 month

27
Q

what does snail track ulceration indicate?

A

Secondary syphylis

28
Q

what are the oral symptoms of TB?

A

oral lesions are rare

mucosal or ginigival ulcer or swelling

lympadenopathy

major salivary gland swelling.

Oral med (18 decks)

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