Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key


Play button


Play button




Click to flip

37 Cards in this Set

  • Front
  • Back
Acute Necrotizing Ulcerative Gingivitis (trench mouth or ANUG) D/Dx;
Diphtheria (gray membrane)
Infection accompanying agranulocytosis (CBC to R/O)
Strep or staph pharyngitis
Acute Necrotizing Ulcerative Gingivitis (trench mouth or ANUG) Tx;
Debridement (refer to dentist) Analgesics, avoid smoking or spicy foods. Rinsing w/warm saline or 1.5% peroxide solution may help p debridement. Improved oral hygiene, adequate nutrition, high fluid intake, rest. (ABX not needed unless fever or signs of extension of infection)
Leukoplakia Etiology;
Benign epithelial response.
Reactive hyperkeratosis (most common) Fx tooth or dental restoration.
Most common in the elderly.
Leukoplakia S/Sx;
White plaque-like lesion on Oral Mucosa.
CA-prone mucosal locations; Lateral or ventral tongue, floor of mouth (especially near Wharton's duct), Mandibular retromolartrigone (Tonsillar pillar & soft palate complex).
Leukoplakia D/Dx;
Surface debris (food)
Thrush (wipes off)
Leukoplakia PE/Lab;
R/O traumatic cause (braces, bridge, etc.)
Biopsy (dentist's job)
Leukoplakia Tx;
Tx is directed at any underlying medical conditions;
Tabacco Cessation
Alchol Cessation
Referal to Oral Surgeon
What is Erythoplakia?
A red patch that cannot be clinically or pathologically diagnosed as any other condition.
Also used to describe a precancerous red lesion.
Erythoplakia Etiology;
Most are a reflection of some kind of CA of the epithelium.
Erythoplakia S/Sx;
Usually Adult Male, is asymptomatic.
Found on the floor of the mouth, tongue or palatal mucosa.
TMJ Syndrome Etiology;
Malocclusion (uneven bite), Dental work, Dz, using one side of mouth, or other repetative trauma. A blow to the jaw or dislocation of the jaw. Bruxism.
If Malocclusion is not corrected what can happen?
Prolonged uneven wear & arthritis of the joint.
What is bruxism?
Chewing & jaw clenching (frequently w/grinding teeth)
Can be caused by MDMA.
Worse during times of stress.
TMJ Syndrome Tx;
(90% respond to conservative tx) Warm compresses or heat to the TMJ area. Analgesics, stress reduction, Dental eval for malocclusion, soft diet, mouthpiece at night, discontinue chewing gum.
Dental Abscess Etiology;
Usually begins as caries or cavities in the teeth that extend deep into the tooth structure (pulp/dentin)
Dental Abscess S/Sx;
Facial cellulitit & marked edema. (Dental work cannot be done until the swelling is gone.) If swelling gets into the sublingual area Ludwig's angina can develop.
Dental Abscess
If only the tooth is tender & there is no sign of abscess is present what could it be?
The infection may be in the tooth (pulpitis) or early periapical abscess.
Dental Abscess Tx;
IV antibiotics
Can consider I&D if pointing, but usually will resolve w/ABX.
Ludwigs Angina Etiology;
Usually a result of local spread of odontogenic infection.
Ludwigs Angina S/Sx
Fever, ill appearance, trismus (unable to open mouth), firm boardlike floor of the mouth, elevation of the tongue, dysphagia, neck swelling/pain, voice change.
Tonic contraction of the muscles of mastication; may occur in mouth infections, encephalitis, inflammation of salivary glands, and tetanus.
Inability to swallow or difficulty in swallowing.
Ludwigs Angina Tx;
IV ABX & admit pt (dz can block airway)
Pharyngitis & Tonsilitis Incidence/Prevalence in US?
30 Million yearly
11% of all school age children yearly
Rhumatic fever is decreasing, 64 cases per 100,000
Pharyngitis & Tonsilitis Acute Bacterial Etiology;
Group A beta-hemolytic strep, Neisseria gonorrhoeae, Corynebacterium diphtheriae (diphtheria), HiB, Moraxella (Branhamella) catarrhalis, Group C & G strep. (rarely)
Pharyngitis & Tonsilitis Acute Virus Etiology;
(most common) Rhinovirus, Adenovirus, Parainfluenza virus, Cytomegalovirus, Coxsackievirus, Coronavirus, Echovirus, HSV, Epstein-Barr virus (mononucleosis)
Pharyngitis & Tonsilitis Risk Factors;
Group A beta hemolytic strep epidemics occur, young more susceptivle, family hx, close quarters, immunosuppression, fatigue, smoking, excess alcohol, oral sex, DM, Recent illness.
Pharyngitis & Tonsilitis S/Sx;
Sore throat, enlarged tonsils, pharyngeal erythema, tonsillar exudates, soft palate petechiae, cervical adenopathy, absence of cough, hoarseness, or lower resp. S/Sx, fever>102.5, Scarlet fever rash.
Swelling and morbid change in lymph nodes; glandular disease.
Scarlet fever rash S/Sx;
Feels like sand paper, punctate erythematous macules w/reddened flexor creases & circumoral pallor. (streptococcal pharyngitis)
Pharyngitis & Tonsilitis Strep A S/Sx;
(90% will have this dz. if all 5 S/Sx are present) Fever>102.5, anterior cervical lymphandenopathy, exudates & red swollen tonsils, Dysphagia/odynphagia, absence of URI sx or cough.
Pain upon swallowing.
Pharyngitis & Tonsilitis lab tests;
Blood agar throat culture from swab, Rapid strep screen. If hx is suggestive; Thayer-Martin plate (gonococcal), Mono spot (Epstein-Barr), Gram stain, Strep can be immunologically typed.
Pharyngitis & Tonsilitis Tx;
Salt H2O gargles, Tylenol, encourage extra fluids, cool-mist humidifier.
Pharyngitis & Tonsilitis Strep Tz;
Penicillin V(standard) 500mg BIDx10days, Penicillin G 1.2 million units IM. PCN allergic; Erythromycin, Cephalexin 250mg tid (30mg/kg/day). Bactrium doesn't work. (Sanford guide pg. 55)
Pharyngitis & Tonsilitis Complications;
Pheumatic fever, Rhinitis, Peritonsillar abscess, Pheumonia, Systemic infection, Mastoiditis, Otitis media, Septicemia, Sinusitis, Post-strep glomerulonephritis
What is a Peritonsillar abscess?
Acute infection located between the tonsil & the superior pharyngeal constrictor muscle.