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57 Cards in this Set

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Q. Discrete, shallow, painful lesions of the oral mucosa, occurring singly or in groups, small ulcers that heal w/o scarring while large ones >1cm diameter scar?
Aphthous Stomatitis
Q. Name this disease:
-1-2 mm ulcer yellowish gray with red base on soft palate and oral mucosa
-2-3 attacks/yr.
-Heals 7-10 days
Aphthous Stomatitis
Q. Name 4 things which can lead to Aphthous Stomatitis?
Stress, food allergies, acidity, nutritional deficiencies, Crohn’s, immune compromised
Q. What foods should be eliminated in Aphthous Stomatitis?
Acidic Foods
Q. These herbs are for what condition?
Calendula succus
Commiphora myrrha
Salvia off
Aphthous Stomatitis
Q. Primary infection can present with fever, single or multiple lesions on and in mouth or asymptomatic.
Location: vermillion border, hard palate, attached gingiva.
SXM: include drooling, cervical lymphadenitis, muscle aching
Herpes Simplex 1
Q. How long does the Herpes Simplex virus last?
10-14 days
Q. These botanicals treat which condition?
Hypericum
Hamamelis virginiana
Glycerrhiza
Melissa off
Herpes Simplex 1
Q. An eruptive skin disorder of the perioral area resembling rosacea and acne, most commonly in young women
Perioral dermatitis
Q. What is perioral dermatitis made worse by?
Made worse by fluorinated steroids, acne preparations
Q. Coxsackie Viruses:
1. Family?
2. What SXM may procede?
1. Member of enterovirus family
2. Flu-like symptoms may precede
Q. NAME THE DISEASE: 1-2 mm gray apulovesicular with erythematous areolas,
may appear as ulcers on posterior pharynx, soft palate and tonsils.
Herpangina
Q. What are sxm of herpangina?
Viral SXM plus dysphagia
Q. NAME THE DISEASE?
-Coxsackie Virus A16 Enterovirus
-Common in young children
-Yellow ulcer surrounded by red halos primarily on tongue, uvula, anterior tonsillar pillars, gums and palate.
Hand Foot and Mouth Disease
Q. Inflammation of the tongue?
Glossitis
Q. Name the tongue: Pale and smooth enlarged tongue
Iron Def Tongue
Q. NAME THE DISEASE: Profuse overgrowth of filiform
papillae (glossitis), brownish
black discoloration of papillae usually asymptomatic?
Hairy Tongue
Q. What can hairy tongue be caused by?
Antibiotics, fever, O2 liberating mouthwashes or reduction in salivary flow
Q. NAME THE DISEASE?
Swollen tongue, fixed white plaques on edges of tongue, looks hairy.
Hairy Leukoplakia
Q. Precancerous lesion that occurs on the tongue or inside cheek due to chronic irritation.
Oral Leukoplakia
Q. 1. What percent of oral leukoplakia develop into cancer?
2. Locations?
1. <5% develop into cancer
2. Mouth floor, ventral/lateral tongue, soft palate including uvula, tobacco chewer-buccal mucosa
Q. What stage of Leukoplakia is white?
Red?
Ulceration?
1. White: usually benign, rarely raised or indurated
2. Red: usually malignant carcinoma in situ
3. Ulceration: sign of progression to squamous cell CA
Q. NAME THE DISEASE: Uncontrolled growth of candida, causing white patches in the mouth with inflammation.
Oral Thrush
Q. The population affected by Oral Thrush?
Immunocompromised
Q. NAME THE DISEASE: dry mouth related to decreased salivary flow and/or changes in saliva composition.
Xerostomia
Q. What are causes of Xerostomia?
Medications
Cancer Therapy
Sjogren’s
Q. SXM of Xerostomia?
-Oral dryness
-Burning or irritation of tongue,
-Difficulty eating and swallowing
Q. What is the cause of hypertrophy of tonsils?
-Repeated respiratory infections or allergies
-Bulimia
-Chronic nasal obstruction
-Eustachian tube dysfunction
Q. WHAT IS THIS PATIENT DEALING WITH?
-Mouth breathing
-Recurrent pharyngeal infections
-Recurrent respiratory infections
-Chronic Sinusitis
Nasal Obstruction
Q. WHAT IS THIS PATIENT DEALING WITH?
-Recurrent acute otitis
-OME with hearing loss
-Chronic suppurative otitis media
Eustachian tube dysfunction
Q. NAME THE DISEASE:
No cough, fever, anterior cervical adenopathy, enlarged tonsils with or without exudate. Most common 5-15 yr. Incubation 2 to 5 days. Direct contact transmission.
Beta hemolytic Strep Group A Pharyngitis
Q. How to test for strep?
1. Must perform throat culture (gold standard) and/or rapid strep.
2. Negative rapid strep should be confirmed by throat culture.
Q. What are 2 complications of Beta hemolytic Strep Group A Pharyngitis?
1. Rheumatic Fever
2. Scarlett Fever
Q. NAME THE DISEASE: Hand contact, nasal discharge transmission. Rhinitis, low grade fever, lymphadenopathy, non-exudative pharyngeal erythema. Incubation: 24-72 hr
Duration: 5-7 days.
Viral Pharyngitis
Q. NAME THE DISEASE: Rapid onset throat pain. Swollen erythematous mucosa pharynx, tonsils red, enlarged, with or without exudate.
Acute Tonsillitis
Q. BOTANICALS:
1. Anti-bacterials
2. Anti-inflammatory
3. Lymphatic drainage
1. Baptisia tinctoria, Echinacea, Hydrastis, Berb spp, Thymus vulg, Capsicum frutescens, Usnea barbata
2. Glycerrhiza, Zingiber off, Phytolacca amer, Calendula off, Berb sp
3. Galium aparine, Phytolacca, Baptisia
Q. NAME THE DISEASE: Oropharyngeal secretions, blood transfusion transmission.
SXM: 1-2 weeks: non-specific malaise, fatigue, low grade fever, myalgia.
May be severe with POSSIBLE EXUDATIVE with tonsillitis
LYMPHADENOPATHY UNIVERSAL
1-2 week, esp POST NODES
Infectious Mononucleosis
(EBV)
Q. What labs would you run for Infectious Mononucleosis?
CBC: Leukocytosis, Lymphocytosis. Heterophile Ab titer.
EBV VCA-IgM Ab (acute, decrease after 3-6 mo up to 1 yr),
EBV VCA-IgG Ab (lifelong)
Q. NAME THE DISEASE: Infectious spread typically of bacterial tonsillitis to peritonsillar space between tonsillar capsule and superior constrictor muscle. SXM: typically unilateral pharyngeal pain, progressing in severity, radiating to the ear.
Peritonsillar Abscess
Q. 1. Peritonsillar Abscess is most common in what age group? 2. What are the complications?
1. Most common in 20-40 y/o.
2. Airway obstruction, carotid artery erosion, septicemia, meningitis, retropharyngeal abscess
Q. NAME THE DISEASE: Usually occurs in infants and young children Complications of suppurative retropharyngeal lymph nodes.
SXM: Painful swallowing, fever, and cervical lymphadenopathy. Possible airway obstruction: stridor, dyspnea and hyperextension of the neck.
Retropharyngeal Abscess
Q. Treatment of Retropharyngeal Abscess?
Refer to ED
Q. NAME THE DISEASE: an acute inflammatory condition of the supraglottic larynx. Usually children age 2-8, but may occur in adults. Caused by H. FLU?
Epiglottitis
Q. What is the classic TRIAD of Epiglottitis?
1. Abrupt onset of dysphagia
2. Drooling
3. Respiratory distress:
Q. NAME THE DISEASE: Inflammation of the larynx for greater then 3 weeks?
Chronic Laryngitis
Q. What can Chronic Laryngitis be caused by?
GERD, Irritant, Cancer, Autoimmune
Q. NAME THE DISEASE: Enlargement of the thyroid gland, may be diffuse or nodular.
Goiter
Q. Name the three types of Goiter and give 1 example?
1. Nontoxic: Euthyroid, diffuse or multinodular (Hashimotos’s, early Graves, iodine def. or excess, goitrogens
2. Toxic: Hyperthyroid
3. Dietary: Nontoxic
Q. Name 3 SXM of goiter?
Neck swelling
Local compression
Pain
Asymptomatic
Q. NAME THE DISEASE: Caused by Tobacco, smoking, HPV, toxins.
SXM: Sore throat, lump in throat, dysphagia, chronic hoarseness, hemoptysis
Throat Cancer
Q. NAME THE DISEASE: Inflammation of the gingiva or periodontium usually caused by chronic bacterial infection.
CX: Poor dental hygiene, excessive sugar, poor dental work.
Periodontal Disease
Q. Possible complications of periodontal disease?
Bone loss, higher risk of preterm baby and cardiovascular disease
Q. NAME THE DISEASE; Acute or chronic suppurative process of periapical region
From infection of the dental pulp, usually staph or strep.
Periapical Abscess
Q. 2 DX for periapical Abcess?
1. Radiolucent on x-ray
2. Aspiration, c and s
Q. NAME THE DISEASE: Symptoms: pain, otalgia, difficulty chewing, dizziness, tinnitus
Signs: Clicking, decreased ROM, flattened molars
Temporomandibular Joint Dysfunction Syndrome
Q. What are SXM of TMJ Syndrome?
1. Location: Depression below zygomatic arch, 1-2 cm anterior to tragus.
2. Click, POP, SNAP
3. HEADACHES which are resistant to treatment
Q. Name 3 conditions in which you refer to a surgeon or ENT specialist?
1. NECK INFECTION OR MASS
2. HOARSENESS > 3 WEEKS
3. STRIDOR/AIRWAY COMPROMISE