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Oral Med > BDS3 Paeds OM > Flashcards

BDS3 Paeds OM Flashcards

1
Q

List examples of viral infections

A

HSV 1+2
- Primary herpetic gingivostomatitis
- Herpes labialis

EBV
- Hairy leukoplakia

Varicella Zoster
- Shingles

Coxsackie Virus
- Herpangina
- Hand foot and mouth disease

Measles/Mumps/Rubella

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2
Q

List examples of bacterial infections

A

Staph
Strep
Syphillis
TB

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3
Q

List an example of a fungal infection

A

Candida

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4
Q

Signs/symptoms of Primary Herpetic Gingivostomatitis

A

Fluid filled vesicles rupture to ulcers
Severe gingivitis
Fever
Malaise
Headache
Cervical lympadenopathy

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5
Q

Tx of Primary Herpetic Gingivostomatitis

A

Bed rest
Fluid - dehydration most common complication
Soft diet
OH - CHX
Painkillers
Immunocompromised: 200mg Aciclovir 5 tablets 5x daily

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6
Q

Name 2 types of coxsackie virus

A

Herpangina
Hand foot and mouth disease

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7
Q

Define Herpangina

A

Vesicles in tonsillar/pharyngeal region
Last 7-10 days

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8
Q

Define Hand food and mouth disease

A

Maculopapular rash on hands and feet
Ulceration on gingivae/tongue/cheek
Fever/runny nose/cough
Lasts 7-10 days

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9
Q

Define oral ulceration

A

Covering epithelium destroyed
Leaving exposed inflamed underlying connective tissue

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10
Q

Hx taking of oral ulceration (10)

A

Site
Size
Onset
Frequency
Number
Associated medical problems
Duration
Any lesions in other areas
Tx so far
Exacerbating diet factors

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11
Q

List causes of oral ulceration

A

Infection
Viral
- Coxsackie
- Herpes Zoster
- EBV

Immune mediated
- Crohns
- Coeliac
- Behects

VBD
- Pemphigus
- Pemphigoid
- Erythema Multiforme

RAU

Trauma

Vit Deficiencies

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12
Q

Different types of RAU

A

Minor <10mm
Major >10mm
Herpetiform 1-2mm

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13
Q

Aetiological factors contributing to RAU

A

Stress
Vit deficiency
GI disease
Trauma
Allergy
Hormones - period

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14
Q

Initial Investigations for RAU (3)

A

Diet diary
FBC + haematinics
Coeliac screen

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15
Q

Management of RAU

A

Diet analysis + exclusion
Avoid spicy food
SLS free toothpaste
Low ferritin - 3mths iron
Low folate/B12 - refer to pads

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16
Q

GDP management

A

CHX MW
Difflam spray (0.15% Benzydamine Hydrochloride LA spray)

17
Q

What is a fibroepithelial polyp

A

Common firm pink lump (pedunculated or sessile)
Mainly in cheeks
Initiated by trauma

18
Q

Tx for fibroepithelial polyp

A

Surgical excision

19
Q

Name the 3 main types of Epulides

A

Fibrous Epulis
Pyogenic granuloma/Pregnancy pulls
Peripheral giant cell granuloma

20
Q

What is an Epulis?

A

Swelling of oral mucosa

21
Q

Features of a fibrous epulis

A

Frim
Pedunculated or sessile
Similar colour to gingivae
Inflammatory cell infiltrate and fibrous tissue

22
Q

Features of a pregnancy epulis

A

Soft deep red/purple swelling
Haemorrhage spontaneously or with mild trauma
Reaction to calculus/plaque

23
Q

What is congenital epulis?

A

Rare in nenates
Anterior maxilla
Grannula cells covered with epithelium
Benign
TX: Simple excision

24
Q

Name examples of HPV associated swellings

A

Verruca vulgaris
HPV 2+4

Squamous cell papilloma
Benign
HPV 6+11
Surgical excision

25
Q

Name examples of fluid swellings

A

Mucoceles
Ranula
Bohns nodules
Epstein pearls
VB lesions - primary herpetic/erythema multiforme

26
Q

Features of a mucocele

A

Blue/translucent swelling
Can affect minor/major salivary glands
Most rupture

27
Q

When would surgery for a mucocele be considered?

A

Fixed in size and may be affecting adjacent glands

28
Q

What are the 2 types of mucocele

A

Mucous extravasation cyst
- Normal secretions rupture into adjacent tissue

Mucous retention cyst
- Secretions retained in an expanded duct

29
Q

What is a ranula?

A

Mucocele in FOM
Can arise from minor salivary glands or ducts of sublingual/submandibular gland

30
Q

What SI is needed with a ranula?

A

Ultrasound or MRI
Exclude plunging ranula into submental/submandibular space
Occasionally found to be lymphangioma - benign tumour of the lymphatics

31
Q

What are Bohns Nodules

A

Gingival cysts
Remnants of dental lamina
Filled with keratin
Occur on the alveolar ridge
Found in neonates
Disappear in early months

32
Q

What are Epstein Pearls?

A

Cysts along midline of palate
In neonates
Disappear in few weeks

Oral Med (19 decks)

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