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63 Cards in this Set
- Front
- Back
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Syphilis is caused by what agent?
What's its shape? |
Treponema pallidum
Spirochete |
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Syphilis types?
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Infectious
endemic congenital |
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Syphilis clinical types?
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primary
secondary tertiary quaternary latent congenital |
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Orofacial menifestations of primary syphilis?
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chancres 4-12%
males: upper lip females: lower lip tongue, gingivae, fauces cervical lymphadenopathy |
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Orofacial menifestations of secondary syphilis?
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ulcer (painless/grey)
snail tract ulcers maculopapular eruptions lymphadenopathy sialadenitis |
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Orofacial menifestations of tertiary syphilis?
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gummata
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Early features of congenital syphilis?
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Condylomata lata at mucocutaneous junctions
radiating rhagades at angle of mouth, nose, eyes, severe mucosal ulceration |
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Late features of congenital syphilis?
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Hutchinson's permanent incisors
Moon's permanent molars Frontl and parietal bossing saddle shape nose deep palatal vault mandibular prognathism cranial neuropathies |
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What methods to verify it's syphilis?
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veneral disease reference laboratory (VDRL)
rapid plasma reagin card test (RPR) T. pallidum haemaglutination assay (TPHA)** fluorescent treponema antibody absorption test (FTA Abs) |
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Oral manifestations of tuberculosis?
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It's rare:
oral ulceration (painless on tongue, gingivae, lip) cervical lymphadenopathy osteomyelitis (maxilla > mandible) parotid swelling, parotitis, fistula CN VII palsy TMJ involvement |
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How to verify TB?
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Mantoux test
followed by PCR for confirmation |
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Tuberculosis is caused by which organism?
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Mycobacterium tuberculosis
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Name two other mycobacteria
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M. avium (oral ulcer)
M. leprae (leprosy) |
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actinomyces is caused by gram ___ aerobic/anaerobic bacteria
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positive
anaerobic |
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Actinomycosis
clinical features: site |
cervicofacial region, thoracic, abdominal, cutaneous, genital
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Actinomycosis
clinical features: appearance |
Suppurative yellow, sulphur granules
Fistula on the skin |
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Actinomycosis
Management? |
High doeses of antibiotics
penicilin for 3-6 weeks Excision of sinus tracts |
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ANUG
Predisposing factors? |
psycholgic stress
smlking local trauma poor nutrition oral hygiene |
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ANUG
Clinical: Appearance? |
inflamed and edematous interdental papillae with punched out crater like necrosis
Grey psudomembranous covering Bad odour Exquisite pain |
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Noma/Cancrum oris or ANUG are caused by what organisms?
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fusobacterium nucleatum
Borrelia vincenti Staph. aureus Streptococcus |
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Management of ANUG?
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thorough cleaning of teeth
metronidazole |
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List all HHV from 1 to 8
Name them and name the associated disease |
HHV1: or HSV1 Herpes labialis
HHV2: or HSV2 Genital herpes HHV3: varicella zoster: chicken pox/ herpes zoster HHV4 (Epstein-Barr): Hairy leukoplakia, infectious mononucleosis (glandular fever), lymphomas, nasopharyngeal carcinoma HHV5 (cytomegalovirus) HHV8 |
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Mode of transmission for HSV1?
Mode of transmission for HSV2? |
HSV1: oral/saliva
HSV2: genital/sexual |
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Herpes simplex incubation period?
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3-9 days
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Herpes Simplex:
for primary exposures, early exposure leads to what disease? |
gingivostomatitis
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Herpes Simplex:
for primary exposures, late exposure leads to what disease? |
early:gingivostomatitis
late:pharyngotonsilitis |
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Acute herpetic gingivostomatitis:
age? |
6months to 5 yrs
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Acute herpetic gingivostomatitis:
signs and symptoms? |
cervical lymphadenopathy
fever anorexia irritability soreness |
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Herpes labialis
AKA? |
cold sore
fever blister |
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Herpes labialis
site? |
vermillion border
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Herpes labialis:
Prodrome? |
pain
burning itching tingling localised warm sensation erythema |
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Herpes labialis:
When does is re-emerge? Healing time? |
when immunocompromised
7 to 10 days |
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Herpes labialis:
most common appearance? |
3mm vesicle
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Herpes virus infection in the finger is called?
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Herpetic whitlow
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Hand Foot and mouth disease caused by ....
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enterovirus
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Hand Foot and mouth disease :
presentation? |
skin 1 - 100 lesions
resemble herpangina Vesicles |
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Hand Foot and mouth disease
Diagnosis? |
Serology enteroviral IgM
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gummata (tertiary syphilis)
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Congential syphilis
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Congential syphilis
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Tuberculosis
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anug
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Herpes Simplex Infection
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Acute herpetic gingivostomatitis
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Herpes labialis
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Herpetic whitlow
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Hand Foot and Mouth Disease
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Herpes zoster
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Herpes zoster
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Candidiasis
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Candidiasis
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Chronic hyperplastic candidiasis
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actinomycosis
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Hand Foot and Mouth Disease
duration? |
resolves in a week
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Herpes zoster
virus is dormant in which area? |
sensory nerves
dorsal root ganglia |
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Herpes zoster
Predisposing factors |
old age,
immunosuppression, radiation, cytotoxic drugs, dental manipulation, malignancies |
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Herpes zoster
clinical features? |
Prodromal pain over the skin of affected nerve, may be accompanied by fever, malaise, headache: 1 - 4 days
Pain may masquerade as sensitive teeth, otitis media, migraine headache, myocardial infraction, appendicitis Skin vesicles (cluster) on an erythematous base 3 - 4 days: pustular, ulcerate 7 - 10 days: crusting 2 - 3 weeks: exanthem resolves |
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Herpes zoster
if pain lasts for more than a month and continues it is termed? |
Post-herpetic neuralgia
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Herpes zoster
Management? |
Acyclovir/aciclovir
Corticosteroids |
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Candidiasis
Predisposing factors? Local and systemic |
Local: smoking, xerostomia, corticosteroids,
broad-spectrum antibiotics, cytotoxics, irradiation, malnutrition, dental prosthesis Systemic: immune defects by malnutrition, chemotherapy |
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Chronic hyperplastic candidiasis
frequency? |
uncommon
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Chronic hyperplastic Candidiasis
age and sex? |
Middle aged/elderly with no sex predilection
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Chronic hyperplastic Candidiasis
Management? |
stop habit, anti-fungals and, surgery
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