Shared Flashcard Set

Details

Oral Pathology
Oral Infections
145
Pathology
Graduate
02/01/2010

Additional Pathology Flashcards

 


 

Cards

Term
What is the most common oral ulceration?
Definition
Recurrent aphthous ulceration (RAU)
Term
What is another name for recurrent aphthous ulceration?
Definition
"Canker sore" or aphthous stomatitis
Term
Aphthous stomatitis occurs at what age?
Definition
20 to 40 years
Term
How many ulcerations in aphthous stomatitis?
Definition
Usually 1 to 3
Term
What is the average duration of aphthous stomatitis?
Definition
3 to 7 days
Term
What are the three forms of aphthous stomatitis?
Definition
  • Aphthous minor
  • Herpetiform aphthous
  • Aphthous major
Term
What are the symptoms of aphthous minor?
Definition
  • Prodromal itching
  • Red halo with ulcerated center
  • No vesicle
  • Non keratinized tissue
Term
What causes aphthous minor?
Definition
  • Primary immunodysregulation
  • Decreased mucosal barrier and increased antigenic exposure
Term
What are other causes of aphthous minor?
Definition
  • Iron, folic acid and B12 deficiencies
  • Hormonal
  • Stress
  • Bacterial and viral agents
  • Trauma
  • Food hypersensitivities
  • Sodium lauryl sulfate (SLS)
  • Systemic conditions
Term
What systemic conditions cause aphthous minor?
Definition
  • Behςet syndrome
  • Crohn and celiac disease
Term
Up to how many herpetiform aphthous ulcers?
Definition
100 lesions
Term
What are other clinical features of herpetiform aphthous?
Definition
  • Young females
  • May have many recurrences
  • Some lesions on keratinized tissue
Term
How long do aphthous major ulcers last?
Definition
  • Up to 6 weeks or longer
  • For many years
Term
What are other clinical features of aphthous major?
Definition
  • Etiology same as aphthous minor
  • Scarring
  • Up to 3 cm in diameter
Term
What is the primary mode of HSV transmission?
Definition
Asymptomatic viral shedding
Term
Primary herpes most commonly occurs at what age?
Definition
1 to 5 years
Term
Primary herpes affects what percentage of the population?
Definition
50 percent
Term
What is the incubation period of primary herpes?
Definition
2 to 20 days
Term
What percentage of primary infections are acute?
Definition
1 to 10 percent
Term
What are other clinical features of primary herpes?
Definition
  • Fever and lymphadenopathy
  • Painful gingiva
  • May be more pharyngeal in adults
  • Only once
Term
Primary herpes lasts how long?
Definition
7 to 14 days
Term
What are other forms of the herpes virus?
Definition
  • Herpetic conjunctivitis
  • Herpetic meningoencephalitis
  • Herpes genitalis
  • Disseminated herpes simplex of newborn
Term
What is another name for recurrent herpes?
Definition
"Cold sore"
Term
What are clinical features of a cold sore?
Definition
  • Mucocutaneous junction
  • Preceded by burning sensation then vesicle and ulcer
Term
What are other clinical features of recurrent intraoral herpes?
Definition
  • Does not normally occur in herpes labialis
  • May coalesce to form large ulcer
Term
Reccurent intraoral herpes is often precipitated by what?
Definition
Dental treatment
Term
Recurrent intraoral herpes develops where?
Definition
  • Keratinized tissue
  • Hard palate and gingiva
Term
Herpetic whitlow can be source of what?
Definition
Primary infection
Term
Herpangina resolves within how long?
Definition
  • A few days
  • Ulcers resolve in 1 week
Term
Herpangina primarily affects what age?
Definition
1 to 4 years
Term
Herpangina usually occurs on what posterior areas?
Definition
  • Soft palate
  • Or tonsillar pillars
Term
What is hand foot and mouth disease?
Definition
Flu like similar to herpangina
Term
Cutaneous lesions of hand foot and mouth disease begin as what?
Definition
Erythematous macules that develop central vesicles
Term
Cutaneous lesions of hand foot and mouth disease heal without what?
Definition
Crusting
Term
Hand foot and mouth disease most commonly affects what oral sites?
Definition
  • Buccal and labial mucosa
  • Tongue
Term
What is the most common oral fungal infection?
Definition
Candidiasis
Term
What are the risk factors of candidiasis?
Definition
  • Immune status
  • Oral mucosal environment
  • Overuse of antibiotics
Term
Soft elevated plaques of candidiasis look like?
Definition
"Milk curds"
Term
Candidiasis consists of what?
Definition
Fungal hyphae
Term
What are other clinical features of candidiasis?
Definition
Wipe off leaving a bleeding surface
Term
Systemic candidiasis may involve what areas?
Definition
  • Skin
  • Lung
  • Genital
Term
What are the types of candidiasis?
Definition
  • Pseudomembranous,
  • Erythematous,
  • Chronic hyperplastic and
  • Mucocutaneous candidiasis
  • Median rhomboid glossitis
  • Angular cheilitis
Term
What is another name for pseudomembranous candidiasis?
Definition
"Thrush"
Term
What is the most recognized form of candidiasis?
Definition
Pseudomembranous
Term
Pseudomembranous candidiasis commonly affects what sites?
Definition
  • Buccal mucosa
  • Tongue
  • Palate
Term
Pseudomembranous candidiasis is associated with what?
Definition
Antibiotic therapy
Term
What is another name for erythematous candidiasis?
Definition
  • Atrophic,
  • Denture stomatitis
Term
Erythematous candidiasis commonly affects what sites?
Definition
  • Posterior hard palate
  • Buccal mucosa
  • Dorsal tongue
Term
What factors contribute to erythematous candidiasis?
Definition
  • Dentures
  • Xerostomia
  • Antibiotic therapy
Term
What are other clinical features of erythematous candidiasis?
Definition
  • Red macules
  • Burning sensation
  • Diffuse lose of filiform papillae
Term
What is median rhomboid glossitis?
Definition
Erythematous zone in the midline on posterior dorsal surface of tongue
Term
What are other clinical features of median rhomboid glossitis?
Definition
  • Asymptomatic
  • Loss of filiform papillae
  • May only partially resolve with antifungal therapy
Term
What is another name for angular cheilitis?
Definition
Perleche
Term
What are associated factors of angular cheilitis?
Definition
  • Immunosuppression
  • Loss of vertical dimension
Term
What is angular cheilitis?
Definition
Red irritated fissured lesions on corners of the mouth
Term
What is chronic hyperplastic candidiasis?
Definition
  • White plaques do not wipe off
  • May be candidiasis superimposed on leukoplakia
Term
Chronic hyperplastic candidiasis is located?
Definition
  • Anterior buccal mucosa
  • Tongue
Term
What are associated factors of chronic hyperplastic candidiasis?
Definition
Immunosuppression
Term
What is mucocutaneous candidiasis?
Definition
White plaques with red areas
Term
Mucocutaneous candidiasis commonly affects what sites?
Definition
  • Mucous membranes
  • Skin
  • Nails
Term
What are other clinical features of mucocutaneous candidiasis?
Definition
  • Seen in patients with immunologic disorders
  • Rare
Term
What is exfoliative cytologic examination of candidiasis?
Definition
Potassium hydroxide or PAS to identify typical hyphae
Term
What organism causes syphilis?
Definition
Treponema pallidum spirochete
Term
How do you treat syphilis?
Definition
Penicillin
Term
What are other clinical features of syphilis?
Definition
  • Sexually transmitted
  • Three progressive clinical stages
Term
What is primary syphilis after 3 week incubation?
Definition
Chancre
Term
What color is primary syphilis?
Definition
Brownish red
Term
Primary syphilis is most commonly located?
Definition
  • Middle upper lip
  • Tip of tongue
Term
Primary syphilis heals within how long?
Definition
3 to 8 weeks
Term
What are other clinical features of primary syphilis?
Definition
  • Painless
  • Crusty lesion if on lip
  • Hard nodule
  • Organisms in serous exudate
Term
Secondary syphilis occurs how long after primary stage?
Definition
6 weeks
Term
What is secondary syphilis?
Definition
Maculopapular eruption stage
Term
Secondary syphilis starts with what?
Definition
  • Fever
  • Hoarseness
  • Dysphagia
Term
What is condyloma lata of secondary syphilis?
Definition
Wart like growth on genital area
Term
Secondary syphilis may continue for how long?
Definition
Months to years
Term
Generalized erythematous rash of secondary syphilis is located?
Definition
Trunks and limbs
Term
What are other clinical features of secondary syphilis?
Definition
  • Inflamed swollen tonsils
  • Reddened soft not hard palate
Term
What are oral mucous patches of secondary syphilis?
Definition
Gray white plaques with ulcers
Term
Secondary syphilis is often called what?
Definition
The great mimicker
Term
What is gumma of tertiary syphilis?
Definition
  • Destructive painless granulomas become necrotic
  • Punched out ulcers
Term
Tertiary syphilis affects what areas?
Definition
  • CNS and CVS
  • Skin
  • Skeleton
  • Joints
Term
What are other clinical features of tertiary syphilis?
Definition
  • Noninfectious
  • Perforation of nose, palate and tongue
Term
What is syphilitic glossitis of tertiary syphilis?
Definition
  • Chronic inflammation
  • Premalignant lesions of leukoplakia on the tongue
Term
What are two types of congenital syphilis?
Definition
Generalized and late congenital syphilis
Term
What occurs before and after fourth month of congenital syphilis?
Definition
Spontaneous abortion and fetal death respectively
Term
How is congenital syphilis acquired?
Definition
Congenital transmission through placenta
Term
What period is generalized congenital syphilis?
Definition
Prenatal to neonatal
Term
What are rhagades of generalized congenital syphilis?
Definition
Perioral vertical creases
Term
What is syphilitic rhinitis of generalized congenital syphilis?
Definition
  • "Snuffles"
  • Red swollen nostrils
  • Purulent smelly nasal discharge
Term
What surrounds vermillion border of generalized congenital syphilis at birth?
Definition
Narrow, yellow and shiny zone
Term
Necrosis of nasal septum in generalized congenital syphilis causes what?
Definition
Saddle nose
Term
Late congenital syphilis appears when?
Definition
6 to 15 years
Term
What is hutchinson triad of late congenital syphilis?
Definition
  • Dental abnormalities in permanent teeth
  • Eighth nerve deafness
  • Interstitial keratitis
Term
Incisors of late congenital syphilis are called what?
Definition
"Screwdriver" incisors
Term
Molars of late congenital syphilis are called what?
Definition
"Mulberry" molars
Term
Gonococcal stomatitis appear similar to what?
Definition
  • Erythema multiforme
  • Erosive lichen planus
  • Herpetic stomatitis
Term
Gonococcal stomatitis affects what areas?
Definition
  • Lips may develop painful ulcers
  • Red dry ulcers on tongue may become glazed and swollen
  • Erythematous gingiva
Term
What are other clinical features of gonococcal stomatitis?
Definition
  • Rare
  • Gonococcal pharyngitis and tonsillitis
Term
What organism causes actinomycosis?
Definition
  • Anaerobic, gram positive
  • Non acid fast
  • Filamentous actinomycosis israelii
Term
What are three forms of actinomycosis?
Definition
  • Cervicofacial
  • Abdominal
  • Pulmonary
Term
Cervicofacial form of actinomycosis occurs in what percentage of cases?
Definition
60 percent
Term
What are other clinical features of actinomycosis?
Definition
  • Normal microflora in plaque, calculus and caries
  • Very destructive in bone
  • Enters wound or extraction site
Term
Swelling and abscesses of actinomycosis contain what?
Definition
  • "Sulfur granules"
  • Colonies of organisms themselves
Term
Cat scratch occurs in what percentage of patients under 21 years?
Definition
80 percent
Term
What is cat scratch?
Definition
Chronic regional lymphadenopathy
Term
What are other clinical features of cat scratch?
Definition
  • Papule or vesicle may last months
  • Self limiting
  • Difficult to diagnose
Term
What organism causes infectious mononucleosis?
Definition
Epstein barr virus
Term
What are oral features of infectious mononucleosis?
Definition
  • Petechiae on hard and soft palate
  • Possible ANUG
Term
Infectious mononucleosis resolves in how many weeks?
Definition
4 to 6 weeks
Term
What is another name for measles?
Definition
Rubeola
Term
What is the incubation period for measles?
Definition
2 to 10 days
Term
What are koplik's spots?
Definition
  • Bluish white specks surrounded by white margin
  • On the buccal mucosa
Term
What is another name for rubella?
Definition
German measles 
Term
What causes rubella?
Definition
Togavirus
Term
What is congenital rubella syndrome?
Definition
  • Deafness,
  • Heart disease and
  • Cataracts in newborns
Term
What is forchheimer's sign?
Definition
Small dark red papules on the soft palate
Term
What is the most common systemic fungal infection?
Definition
Histoplasmosis
Term
What causes histoplasmosis?
Definition
  • Histoplasma capsulatum
  • Inhalation of dust containing spores
Term
What are oral features of histoplasmosis?
Definition
Nodular ulcerative lesion
Term
What causes blastomycosis?
Definition
  • Blastomyces dermatitidis
  • Rich moist soils
Term
Oral lesions of blastomycosis resemble what?
Definition
  • Actinomycosis
  • Or squamous cell carcinoma
Term
What is another name for coccidiomycosis?
Definition
San joaquin valley fever
Term
What causes coccidiomycosis?
Definition
  • Coccidioides immitis
  • Inhalation of dust contaminated by spores
Term
What are two forms of coccidiomycosis?
Definition
  • Primary non disseminated form
  • Disseminated form
Term
What is primary non disseminated form of coccidiomycosis?
Definition
  • Flu like
  • May develop skin lesions
Term
Disseminated form of coccidiomycosis occurs in what percentage of cases?
Definition
1 percent
Term
What are oral features of coccidiomycosis?
Definition
  • Nonspecific
  • Proliferative, granulomatous and ulcerative lesion
  • Chronic
Term
What is impetigo?
Definition
Superficial skin infection
Term
What causes impetigo?
Definition
  • Strep pyogenes
  • Staph aureus
  • Usually due to lack of hygiene
Term
Impetigo is often seen in what age group?
Definition
Young children
Term
What are other clinical features of impetigo?
Definition
  • Looks like herpes
  • Honey colored vesicles around mouth
Term
What causes scarlet fever?
Definition
Beta hemolytic streptococcal organism
Term
Scarlet fever is most common at what age?
Definition
3 to 12 years
Term
What is the incubation period for scarlet fever?
Definition
3 to 5 days
Term
What is "stomatitis scarlatina" of scarlet fever?
Definition
  • Edema
  • Elongated uvula
  • Diffuse petechiae
Term
What are other clinical features of scarlet fever?
Definition
  • Development of glomerulonephritis
  • Or rheumatic fever

 

Term
Noma may arise at what age?
Definition
2 to 10 years
Term
Noma may begin as what?
Definition
ANUG
Term
What are viral lesions of the oral cavity?
Definition
  • Infectious mononucleosis
  • Measles (rubeola)
  • Rubella
Term
What are fungal infections of the oral cavity?
Definition
  • Histoplasmosis
  • Blastomycosis
  • Coccidiomycosis
Term
What are bacterial infections of the oral cavity?
Definition
  • Impetigo
  • Scarlet fever
  • Tuberculosis
  • Noma
Term
What are other clinical features of pseudomembranous candidiasis?
Definition
  • Burning sensation
  • Foul taste
Term
Erythematous candidiasis is also known as?
Definition
Burning mouth syndrome
Term
Lesions are highly contagious in what two stages of syphilis?
Definition
Primary and secondary
Term
Mature chancre of primary syphilis appear?
Definition
"Clear looking"
Supporting users have an ad free experience!