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Flashcards in Pathology Deck (17):
1

Primary Herpetic Stomatitis

Tx

  • HSV
  • Vesicles followed by ulcers
  • Lymphadenopathy
  • Tx
    • Acyclovir Suspension, swish and swallow

2

Herpes Labialis

Triggered by

App

Tx

  • Triggered by
    • common cold
    • sunshine
    • mensturation
    • Emotional upset
    • local irritations
  • Vesicles for 3 days
  • Rupture crust and blister
  • Acyclovir cream

3

Herpes Zoster

App

Tx

  • Painful, vesicular rash and stomatitis in the related dermatome
  • Tx
    • Acyclovir 800mg 5x a day for 7 days

4

Oral Candidiasis-Oral Thrush

App

Dist

Tx

  • Forms soft, friable and creamy colored plaques on the oral mucosa
  • Easily wipe off to expose erythmatous mucosa
  • Varies from isolated small freckles to widespread confluent plaques
  • Tx
    • Nystatin lozenges

5

Angular Chelitis (Stomatitis)

Tx

  • Caused by leakage of candida infected saliva at the angles of mouth
  • Tx
    • Nystatin lozenges

6

Recurrent Aphthous Stomatitis

3 forms

  • Mild- non-keratinized mucosa, shallow ulcers, yellow with red halo
  • Major- large, persist for months, tongue and gingiva
  • Herpetiform
    • non-keratinized, small ulcers, dozens to hundreds present, bright erythmatous round ulcers

7

Behcets Disease

what 3 things are involved

Demo

  • A triad of oral aphthae, genital ulceration, and uveitis
  • Usually young adult males 20-40yo
  • Common in Turkey and Japan

8

Lichen Planus

Deff caused by

Demo

Manifests as

Location

  • Chronic inflammatory disease of skin and mucous membranes
  • T cell mediated disorder
  • Middle aged and over F>M
  • Manifests
    • Striae
    • Atrophic areas
    • Erosive
  • Buccal mucosa, dorsum of tongue, gingiva (rare)

9

Lichen Planus Tx

  • Topical application of corticosteroids, monitoring required
  • Triamcinolone dental paste applied to lesions is an alt but less effective

10

Tongue Disorders 

  • Ulcers
    • Herpes
    • Lichen planus
    • Cancer
  • Glossitis
    • Anemia
    • Vit B deficiencies
    • Candidiasis
  • Geographic tongue
  • SImply Sore

11

Iron-Defficieny Glossitis

App

How to examine

  • Tongue is smooth due to atrophy of the paillae and is red and sore
  • Anemia is the most common diagnosable cause of glossitis
  • Must be looked for by hematological examination

12

Frictional Keratosis

app

  • Poorly defined patch of keratosis on the buccal mucosa

13

Fordyces Granules

Occurence

App

  • Sebaceous glands are present in oral mucosa of at least 80% adults, mainly elderly
  • Clusters of creamy slightly elevated papules on the buccal mucosa

14

HIV-Associated Hairy Leukoplakia

App

  • Vertically corrugated or shaggy surface
  • Plaque is soft, painless, common on lateral tongue
  • Low CD4 count

15

Erythroplasia

  • Red patches
  • Highest potential for malignancies 

16

Leukoplakia

  • Speckled Leukopla
  • Homogenous
  • Sublingual keratosis
  • Verrucous leukoplakia
  • SMokers keratosis

17