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25 Cards in this Set

  • Front
  • Back
Stomatitis
Inflammation of the mouth
Stomatitis classification
Based on site or cause
Stomatitis classification
Gingivitis
Cheilosis
Angular stomatitis
Glossitis
Gums
Lips
angles of mouth
Tongue
Apthous stomatitis
Herpes Simplex stomatitis
Stomatitis

Angular Stomatits
Canker Sores
due to ill fitting dentures
or
Nutritional deficiency eg B12
Stomatitis

Aphthous
Trauma eg Braces
or
can be associated with GIT disorders
Stomatitis

Gingivitis
Bacterial Irritation
debris
local factors
Thrush
Define
Acute infection of oral cavity with yeast Candida albicans
Thrush

Etiology
Candida Albicans
Thrush

Predisposing factors
-Infancy
-diabetics
-corticosteroids
-immunosuppressive disorders
Thrush

Clinical features
-Acute
-Multiple
-white curd like patches
-irregular on oral mucosa
-ulceration
-inflammation
-fissures of the labial commissures
-Encrustations of the lips
Esophagitis

Define
Inflammation of th esophagus
Esophagitis

Etiology
Usually secondary to
- Hiatus Hernia with acid reflux
- prolonged gastric intubation
- ingestion of corrosive chemicals
- irritant food. eg. alcohol
- bacteraemia
- Uraemia
infections of Candida
Esophagitis

Pathology
-Hyperaneamia and edema of mucosa in acute inflammation
- erosions/ superficial ulcerations
- areas of necrosis
- grey and white thickenings of epithelium in reflux esophigitis
- pseudomembrane areas in candida
Esophagitis

Clinical features
- Dysphagia
- chest pain
- nausa
- Vomiting
-fever
-Melena
-haematemesis
Gastritis

Define
An Inflammation of gastric epithelium
Gastritis

Classification
1. Acute or Erosive
2. Chronic or Non-erosive
a) Autoimmune Gastritis
b)Multifocal atropic gastritis
c)superficial
Gastritis

Etiology
- Age
- Alcohol
- Helicobacter Pylori
- Asprin
- Radiotheraphy to abdomen
-trauma to CNS
- Immunopathology (Autoimmune gastritis)
- severe stress
-infective 'Gastroenteritis'

-
Gastritis

Pathology
Acute
- Multiple superficial epithelial erosions
- foci necrosis
- petechial haemorrages
- acute inflammation
Gastritis

Pathology
Chronic
- Maybe mild, presents of lymphocytes and plasma cells in lamina propria
- mucoas my atrophy -- lead to intrinsic factor deficieny
- may be precurser to gastric and peptic ulcers
-
Gastritis

Clinical Features
Actue
Anorexia
coated tongue
pain over epigastrium
persistant vomiting
may have persistant massive bleeding
Gastritis

Clinical feature
Chronic
usually asymptomatic
may exhibit
epigastric pain
Nausea
vomit
electrolye changes
Peptic Ulceration

define
Range of disorders in which there is a break in mucosa, where exposed to gastric juices.
Maybe acute or chronic
Peptic Ulceration

Etiology
Occring in any area which peptic digestion takes place.

• esophagus -reflux present
• stomach and duodenum
• stoma of gastro-duodenal anastomosis
• meckels diverticulum- ectopic parietal cells present

Multifactorial
risk factors include- family history
-asprin
- smoking
- cirrhosis of liver
- chronic renal failure
- chronic pulmonary disease
- pyloris sternosis (food stasis)
Peptic Ulceration
etiology
gastric ulceration
- atropic gastritis
- impaired mucosal defense
Peptic ulceration
eitology
duodenal ulceration
- increase in pariatal cell mass = increase in HCl
-accelerated gastric emptying
-presents of helicobacter pylori ( decrease mucosal defenses)