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week 2 Flashcards

(77 cards)

1
Q

General findings of oral cavity

A

dryness of mouth, gingiva, palate,breath

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2
Q

recurrent herpes labiallis

A

cold sore- blister ruptures, crusts and oozes

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3
Q

what are the prodromes for herpes labiallis

A

stinging, burning, itching in the area of breakout

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4
Q

reactivation triggers for herpes

A

STRESS, sun, hormones

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5
Q

carcinoma of the lips (SCC most common) SSx

A

painless, sharply bordered, plaque or wart like slow healing

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6
Q

mucocele features

A

blockage of salivary gland: cyst like bubble, moveable, may rupture

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7
Q

angular cheilitis features

A

deep cracks at the corner of the mouth, can become infected with candidas, KOH test for candidas

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8
Q

etiology of ang. cheilitis

A

loss of teeth, bad dentures, bad hygiene, sicca

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9
Q

mouth: mucosal lesions : Lichen Planus features

A

inside of cheeks, buccal region and gingiva: painless lace like white patches less likely to cause cancer

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10
Q

Leukoplakia feautures

A

white patches raised or flat, cannot be rubbed off, flaking white paint (white gray or yellow): precancerous hyperplasia

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11
Q

etiology of Leukoplakia

A

HIV, vit deficiency, oral sepsis, alcoholism

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12
Q

Erythroplakia features

A

red macule, well demarcated on floor of mouth: precancerous

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13
Q

SCC features

A

firm, affixed, hard lesions mostly on floor of mouth: first sign might be a non-tender mass in the neck

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14
Q

melanoma features

A

pigmented lesions scary ABCD- lesions will not blanch

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15
Q

Fordyce’s spots

A

benign granual like lesions from sebacious glands: do not wipe off mostly on the border of the mouth

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16
Q

stomatitis

A

inflammation of oral tissue that is secondary

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17
Q

etiology of stomatitis

A

leukemia, chemicals, alcohol, allergy

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18
Q

Mouth: oral candidias features

A

soft white plaques that bleed when wiped away, major risk factor: immunocompromised people

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19
Q

aphthous stomatitis SSX

A

acute painful ulcerations occur on non-keratinized mucos.. possible t cell mediated

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20
Q

aphthous stomatitis etiology

A

HIV, stress, hormones, food allergies

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21
Q

3 types of aphthous ulcers

A

minor, major, herpetiform

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22
Q

minor, major, herpetiform

A

solitary, shallow, red halo resolves in a week-starts in childhood
ragged edges, painful, lasts up to 6 weeks develop after puberty
small pinpoint ulcers starts in adulthood lasts for a month

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23
Q

oral erythema multiforme SSX

A

Bullae rupture painful -that forms crusts- hemmorrhagic vessicles

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24
Q

oral erythema multiforme prodrome

A

rhinitus, sinitus

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25
chancre SSX
painless lesions that are primary form a syphilis- possible genital spreading
26
angioedema SSX (allergy)
swelling, acute non-pitting edema, throat, nose
27
hereditary angioedema
not itchy, more painful, precipitated by stress, trauma
28
mandibular torus SSX
non-neoplastic bone formation
29
hemangioma SSX
raised or flat proliferation of blood vessels- congenital | because of location secondary infection is possible
30
varicosities SSX
tortuous swollen blue veins on ventral aspect of the tongue | blanche when pressed on
31
papilloma SSX
could be caused by HPV and cause warts pedunculated benign growths with finger like projections- asymptomatc
32
lipoma SSX
benign slow growing mass of adipose tissue- nontender rubbery and soft
33
salivary gland: sialadenitis SSX
benign swelling secondary to may diseases (mumps-painful,cirrhosis, sarcoidosis)
34
Sialolisthesis: SSX
salivary duct stones- pain when swallowing
35
Sjögren’s syndrome SSX
autoimmune- dry eyes, mouth, mucosal membranes
36
Xerostomia SSX
dry mouth caused by drugs, mouth breathing, salivary gland disorders- tooth decay secondary
37
Teeth and gums: gingivitis SSX
swollen bright red and blue gums, bleed, sore,receeding gum line
38
gingivitis etiology
poor oral hygiene,bad dental restoration, dental caliculi
39
vincent's angina (ANUG) SSX
acute ulcerative infection, punched out appearance, gray membrane, halitosis, bleeds
40
periodontitis SSX
infection of the periontium :red, swollen gums with bleeding, pain while chewing, tooth pain with percussion
41
caries
a cavity invades dentin: pain with hot and cold, meth mouth | tooth decay
42
toothache and infections causes...
apical absess, ludwigs angina, and cavernous sinus thrombosis
43
apical abscess SSX
development of infection in the root of the tooth: more pain | swelling of mucosa over the tooth
44
ludwigs angina SSX
cellulitis of the floor of the mouth due to infection: fever, malaise,swelling goes from sublingual to maxillary sinus
45
scavernous sinus thrombosis SSX
staph or strep in the cavernous sinus leads to blood clot | eye bulge, headache, vision changes
46
tongue issues: can't move
short frenulum, nerve damage
47
deviation of the tongue
CN12 problems
48
taste problems due to ...
meds-chemo, bels pasy, vit. deficiencies, and facial nerve damage
49
color change: geographic tongue
benign migratory glossitus, localized loss of papillae, red patches with white circumfrence due to: smoke, alcohol,candidas, leukoplakia, lichen planus
50
hairy tongue SSX
distal part of tongue looks black or green and hairy due to hypertrophy of papillae
51
due to...
coffee, alcohol, drugs, bad oral hygiene
52
tongue tremor
nerve disease, hyperthyroidism
53
smooth tongue
atrophy of papillae due to: low HCL, celiacs, low vit.
54
enlarged tongue
hypothyroidism, acroamegoly, pernicious anemia, infecttion
55
glossitis SSX
swollen tongue, color change, and tender
56
glossitis etiology
allergy, infection, poor hydration, syphilis
57
throat: acute pharyngitis etiology
infection, bacterial, viral, herpes, foreign bodies
58
bacterial pharyngitis SSX
Absence of cough, Tender anterior cervical adenopathy, Tonsillar exudate, History of fever
59
bac. pharyngitis caused mostly by what/ complications
GAS group A strep., PANDAS secondary OCD
60
viral pharyngitis mono SSX
exudate tonsilitis and marked redness and swelling
61
viral pharyn. adenovirus SSX
throat is not red although may be very sore, runny nose, stuffiness
62
Diphtheria SSX (life threatening)
dirty gray tough fibrous membrane, fever, nausea
63
tonsillitis
acute inflammation of the palatine tonsils
64
tonsillitis SSX
sudden onset, fever, nausea
65
3 types of tonsillitis
acute:bacterial or viral subacute: 3wks- 3 mnth- caused by actinomyces chronic : bacterial firbrotic
66
complications
tonsilloliths peritonsillar abscess hypertrophy of the tonsils
67
Peritonsillar abscess SSX
breath odor, pain in neck, lymph enlargement
68
parapharyngeal abscess
serious :markedly swollen anterior triangle in the nec
69
retropharyngeal sSX
infection of the deep spaces in the neck medical emergency: jaw stiffness, lump in throat, sore throat all of the other constitutions
70
chronic irritation etiology
smoking, alcohol, allergies, spicy food, chronic infection
71
chronic SSX
cobblestoning, hypertrophic lymph tissue
72
larynx hoarseness etiology
inflammation, polyps, hypothyroidism causes structural changes in vocal chords
73
laryngitis SSX
loss of voice: tickling of the throat, hoarsness, voice change
74
epligottitis EMERGENCY SSX
infection of the epiglottis: acutely ill, shallow breathing, must sit up on bed, anxiety
75
epligottitis diagnosis
do not try to see the throat: lateral C- spine Xray
76
vocal cord polyp SSX
benign bilateral lesions: hoarsness, breathy voice, visually identifiable
77
types of lumps in the necks
1. cervical LA- rubbery 2. neoplasm of the Lymphatic chain- immoveable, hard nd large 3. salivary gland swelling 4. medial swelling - thyroid