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30 Cards in this Set
- Front
- Back
What is Apthous Stomatitis?
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Canker sore
Etiology unknown |
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What does Apthous Stomatitis look like?
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1-3 (small) 3-10mm ulcers on the inside of the lips or mouth.
Very painful Lasts 1-2 weeks No associated fever or lymphadenopathy. |
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Tx for Apthous Stomatitis?
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Bland diet, avoid salt & acid containing foods. May use topical antacid or topical dental corticosteroid.
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What is Herpetic Gingivostomatits?
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Herpes Simplex Virus I
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How is Herpetic Gingivostomatits aquired?
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Oral secretions from age 1-5 yrs.
p acute infection virus is dormant, comes back 20% of pts. |
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S/Sx of Herpetic Gingivostomatits?
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Sudden high fever, malaise, excessive drooling & refusal to eat or drink.
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Tx for Herpetic Gingivostomatits?
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Hydrate, Frequent sm amts of cold liquid.
Bland diet Tylenol for fever & pain Watch for dehydration, requires hosp. admit. (not common) Close F/U |
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What causes Oral Candidiasis (thrush)?
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Recent ABX or immunosuppressive drug.
Orally inhaled steroids. Hx of HIV/AIDS, CA, etc...(adults do not get unless they have a immune disorder) |
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S/Sx of Oral Candidiasis (Thrush)?
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White, curdy exudate on buccal mucosa, lips, palate, gums and/or tongue.
Pain during feeding or w/swallowing. Poor appetite Associated diaper rash (appears as a moist, beefy red rash w/sharp boarders & satellite papules or pustules. May be asymptomatic |
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Tx for Oral Candidiasis (Thrush)?
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Nystatin (Mycostatin) oral suspension, 1ml to each side of mouth qid pp & p cleaning mouth. (med should be on mouth for as long as possible)
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What is Coxsackie Virus?
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Most prevalent in children 1-7yrs. In summer or autumn.
Transmission-fecal-oral or airborne. |
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What 2 groups is the Coxsackie Virus divided into?
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Coxsackie A-found in oropharynx (hand foot & mouth dz) vesicular lesions.
Coxsackie B-associated w/pneumonia, bronchitis, upper respiratory & influenza like illnesses. |
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What does Coxsackie A virus most commonly manifest itself as?
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Herpangina-looks like herpes.
Hand, foot & mouth dz. |
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What is herpangina?
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Acute infectious dz, caused by numerous group A coxsackieviruses (occasionally other enteroriruses) Is characterized by vesiculoulcerative mucosal lesions.
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S/Sx of herpangina?
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Occur in epidemics, Usually in peds, sudden onset of fever w/sore throat, H/A, Anorexia, Neck, Abdomen, & Extremity pain, (in infants) vomiting & convulsions.
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Describe lesion of Herpangina;
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Numerous vesicles, 1-2mm.
Rupture quickly leaving shallow, painful ulcers. Lesions involve the soft palate, uvula, tonsils, pillars, & the posterior pharyngeal wall. (lasts 7-10 days) |
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D/Dx for Herpangina?
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Most important is Strep & gonococcal pharyngitis
(others have the same tx) |
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What is Hand-Foot-&-Mouth Dz?
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(young peds) Acute infectious febrile dz.
cause-coxsackievirus A16 Characterized by vesicular exanthem of skin and mucosa. |
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S/Sx of Hand-Foot-&-Mouth Dz?
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Low fever (short duration)
H/A Abd pain Mild diarrhea Malaise |
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How is Hand-Foot-&-Mouth Dz different from herpangina?
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Course is similar but a vesicular exanthem is distributed over the buccal mucosa & palate, hands, feet & occasionally the diaper area.
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Incubation period of Hand-Foot-&-Mouth Dz?
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3-5 days
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Describe the lesions of Hand-Foot-&-Mouth Dz;
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Dispersed vesicles, 5-10 in #, 2-6mm surrounded by a red halo.
Rupture quickly, leaving painful ulcers. Present 5-8 days |
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PE for Hand-Foot-&-Mouth Dz;
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lateral & dorsal surfaces of the fingers & toes usually.
Painful lesions sometimes on palms, soles & buttocks. Mouth lesions on tongue, buccal & labial mucosa, gingiva & soft palate. |
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D/Dx for Hand-Foot-&-Mouth Dz;
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All are viral stomatitis all have the same tx.
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Tx for Hand-Foot-&-Mouth Dz & Herpangina;
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Both are self limiting
Symptomatic tx Very contagious |
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What is Acute Necrotizing Ulcerative Gingivitis (trench mouth or ANUG)?
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Noncontagious infection (fusiform bacillus & spirochete)
Destroys the interdental papillae & dome times the marginal & attached gingiva. |
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Acute Necrotizing Ulcerative Gingivitis (trench mouth or ANUG): Etiology
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Poor oral hygiene, Px or emotional stress, Nutritional deficiencies, Blood dyscrasias, Debilitating dz, Insufficent rest, Rarely occurs in nonsmokers.
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Acute Necrotizing Ulcerative Gingivitis (trench mouth or ANUG): S/Sx
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Abrupt onset, Malaise, Painful bleeding gingivae, Aalivation, Halitosis, Swallowing & talking may be painful, Regional lymphadenopathy.
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Acute Necrotizing Ulcerative Gingivitis (trench mouth or ANUG): PE
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Ulcerations limited to the marginal gingiva & interdental papillae (gums between teeth), has punched-out appearance. Covered w/grayish membrane & bleed w/pressure or irritation. (rarely lesions on buccal m & tonsils)
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Acute Necrotizing Ulcerative Gingivitis (trench mouth or ANUG): Dx
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Punched-out appearance of interdental papillae, grayish interdental membrane, spontaneous bleeding, odor & pain are pathognomic.
Many, Many fusospirochetal forms in stained smears. |