GI: Diseases of the Mouth Flashcards
(24 cards)
What diseases of the GI tract can recurrent apthous ulcers point to?
Crohns disease
Coeliacs disease
(Anaemia)
How long do minor apthous ulcers take to heal?
2 weeks
How long do major apthous ulcers take to heal?
Minimum of 4 weeks + scarring
What infective organisms can cause apthous ulcers?
Herpes simplex virus
Herpes zoster virus
Coxsackie A
How does a squamous cell carcinoma of the mouth present?
An indolent (non-healing) ulcer often on the lateral border of the tongue or floor of the mouth
What are white patches in the mouth associated with?
Smoking
Candida infection
Lichen planus
Syphilis
What is lichen planus?
Lacy white lines/rash on the tongue. Can develop into ulcers
What is leukoplakia? What are its indications?
White patches on the tongue in which no local cause can be found
Could be a premalignant change- must be biopsied
What causes hairy leukoplakia? What condition does it indicate?
Epstein-Barr virus. Indicates HIV
Name 2 oral manifestations of anaemia
Angular cheillitis
Glossitis
What is angular cheillitis?
Cracking of the corners of the mouth- caused by staphylococcal or candida infection
What is glossitis?
Inflammation of the tongue and loss of filiform papilla, leaving tongue smooth and enlarged. Indicates Vitamin B12, folate or iron deficiency
What is ulcerative gingivitis?
Crater-like ulcers + bleeding
Also known as ‘vincents infection’
Which patients are likely to get ulcerative gingivitis?
The malnourished or immunocompromised
How do you treat ulcerative gingivitis?
Oral metronidazole
What is xerostomia?
dry mouth syndrome
What is sialosis?
Enlargement of the salivary glands
What is sjogrens syndrome?
Dry mouth syndrome due to autoimmune destruction of the salivary glands
Which salivary gland most commonly develops tumours?
The parotid gland, usually benign
What feature points towards a malignant parotid gland tumour?
Facial muscle weakness and sagging of the face- Paralysis of 7th cranial nerve
What is an oral side effect of calcium channel blockers?
Gingival hyperplasia
What is an oral side effect of nicorandil?
Oral ulcers
What is an oral side effect of ICS use?
Candidiasis Angia bullosa (blisters)
What is an oral side effect of ACEi/ARBS?
Angioedema
Xerostomia
Lichen planus
