Shared Flashcard Set

Details

Test 1
pulpal/periapical diagnostics; viral and fungal infections
78
Dentistry
Professional
01/26/2015

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Cards

Term
5 cardinal signs of inflammation?
Definition
PRISH--> pain (dolor)
redness (rubor)
immobility or loss of function
swelling (tumor)
heat (calor)
Term
Infection with candida albicans depends on what 3 things?
Definition
IMMUNE status of host
ENVIRONMENT of oral mucosa (warm & moist)
STRAIN of candida albicans
Term
PA lesion with symptoms
Definition
symptomatic apical periodontitis
Term
PA lesion without symptoms
Definition
asymptomatic apical periodontitis
Term
What are the two hallmark symptoms of irreversible pulpitis? What periapical diagnosis can be associated?
Definition
Prolonged responsed to thermal stimuli & spontaneous pain; symptomatic apical periodontitis
Term
What are two alternative names for candidiasis?
Definition
candidosis (british) and moniliasis
Term
What is the formal name for oral thrush? What does it present as? What do some say it looks like?
Definition
pseudomembranous candidiasis; white plaques that DO rub off; look like cottage cheese/curdled milk
Term
Which amino acid promotes cold sores and which opposes them? Name 3 foods to select and 3 to avoid.
Definition
arginine - lysine
high in lysine--> fish, chicken, beef
high in arginine--> nuts, chocolate, raisins
Term
angular cheilitis is also known as? what is its etiology?
Definition
perlèche; candida &/or staph
Term
angular cheilitis is associated with what nutritional condition?
Definition
severe riboflavin (B2) deficiency
Term
another name of median rhomboid glossitis is? what is this condition's etiology?
Definition
central papillary atrophy; candida albicans
Term
at what time should you treat herpes labialis?
Definition
prodrome
Term
bone scar
Definition
condensing osteitis; bony reaction to pulpal/PA inflammation; appears as radiopaque area near root apices normally
Term
bull neck
Definition
ludwig's angina in submandibular space; get enlargement/tenderness of neck above hyoid
Term
bull's eye target lesions; induced by?; these lesions occur in what percentage of cases?
Definition
skin manifestation of erythema multiforme (allergy-induced condition); occurs in 50% of cases
Term
burkitt's lymphoma involves undifferentiated B-lymphocytes; what are some symptoms of this condition? what does its prognosis look like?
Definition
facial swelling, tooth mobility, aggressive destruction of alveolar bone; without treatment, will die within 6 months but 90% respond well to chemotherapy
Term
cellulitis
Definition
spread of ACUTE apical abscess
Term
classic triad of deafness, heart disease, and cataracts
Definition
(CRS) congenital rubella syndrome)
Term
coryza, cough, and conjunctivitis (3 C's)
Definition
measles; in 1st 3-day phase
Term
cottage cheese/curdled milk is characteristic of what condition?
Definition
pseudomembranous candidiasis (thrush)
Term
dewdrop on rose petal
Definition
classic presentation of primary VZV/chickenpox; centrally located vesicle surrounded by erythema
Term
diapedesis
Definition
passage of blood cells through intact capillary wall; seen with inflammation
Term
epidemic parotitis
Definition
mumps
Term
epididymo-orchitis
Definition
2nd most common finding in mumps; 25% of postpubertal males
Term
exuberant tissue response to irritation in pulp
Definition
pyogenic granuloma
Term
forchheimer's sign
Definition
oral lesions of rubella; small, discrete, dark-red papules that develop on soft palate
Term
hairy tongue involves elongation of what type of papillae?
Definition
filiform
Term
if primary HSV is symptomatic, it is called? What are 3 examples of symptoms?
Definition
acute herpetic gingivostomatitis; fever, malaise, lymphadenopathy (flu-like symptoms)
Term
infection mononucleosis is involved with which virus? what are some symptoms of this virus?
Definition
ebstein-barr virus; fever, lymphadenopathy, malaise
Term
internal resorption is associated with what phenomena? what usually induces internal resorption?
Definition
pink tooth of mummery; inflammation from trauma (asymptomatic though usually)
Term
kaposi's sarcoma is caused by _______, presents as multiple ____________, and is often seen with what type of infection?
Definition
HHV-8, bluish-purple macules and plaques, HIV
Term
koplik's spots
Definition
most distinctive oral manifestation of measles (rubeola); mucosal erythema, usually on buccal mucosa; looks like grains of salt on a red background
Term
localized swelling
Definition
acute apical abscess
Term
no PA lesion (or widened PDL); with symptoms
Definition
symptomatic apical periodontitis
Term
no PA lesions (or widened PDL); without symptoms
Definition
normal
Term
no response to cold; may have any type of periapical disease
Definition
necrotic pulp
Term
non-localized swelling
Definition
cellulitis
Term
onion skinning
Definition
Garre's osteomyelitis; layers of reactive vital bone formed in response to inflammation; also seen in Ewing's sarcoma
Term
oral hairy leukoplakia is caused by which virus? what other conditions does this virus cause?
Definition
ebstein-barr virus; mono, burkitt's lymphoma, nasopharyngeal carcinoma
Term
owl eye cells
Definition
hallmark of CMV infection; infection moves into nucleus and creates intranuclear inclusion bodies
Term
paul-bunnell heterophile antibodies
Definition
classic serologic finding with mononucleosis
Term
perimolysis
Definition
tooth erosion from stomach acid
Term
phoenix abscess
Definition
symptomatic apical periodontitis WITH periapical lesion; acute exacerbation of existing chronic inflammation
Term
pink spot (pink tooth of mummery)
Definition
sign of internal resorption; seen in asymptomatic irreversible pulpitis
Term
pregnancy tumor is otherwise known as? what is it?
Definition
pyogenic granuloma; red bump found on gumline usually that bleeds easily; harmless and normally appears in 2nd or 3rd trimester, if present
Term
radicular cyst
Definition
cyst at apex of necrotic tooth; extract or RCT
Term
ramsay hunt syndrome  (involved with which condition; symptoms)
Definition
manifestation of recurrent VZV (shingles) or herpes zoster; combo of ext. auditory canal lesions and involvement of ipsilateral facial and auditory nerves; causes facial paralysis, hearing deficits, and vertigo
Term
recurrent HSV on finger
Definition
herpetic whitlow (herpetic paronychia)
Term
recurrent intraoral HSV occurs only on what type of mucosa? what areas does this include?
Definition
"bound-down" keratinized mucosa; hard palate and attached gingiva
Term
sinus tract
Definition
hallmark of chronic apical abscess; periapical finding with necrotic pulp
Term
sinus tract
Definition
chronic apical abscess
Term
sub-acute sclerosing panencephalitis
Definition
rare complication in measles (rubeola); degenerative disorder of CNS that can lead to personality changes, seizure, coma, or death; can happen up to 11 yrs post infection
Term
the histological starry-sky pattern is associated with which condition? the american version of this condition is first detected as?
Definition
burkitt's lymphoma; abdominal mass
Term
three-day measles
Definition
rubella (german measles)
Term
transient response to cold, no spontaneous pain
Definition
reversible pulpitis
Term

tzanck cells; what are they?

Definition
free-floating epithelial cells due to loss of intercellular desmosome connections (termed acantholysis); seen in HSV1 and HSV2 infections
Term
warthin-finkeldey giant cells
Definition
large multinucleated cells specific for measles
Term
what 2 tests do you use to diagnose a necrotic pulp?
Definition
thermal or EPT
Term
what are the "3 C's" and what condition are they associated with?
Definition
coryza (runny nose), cough, conjuctivitis; rubeola (measles)
Term
what are the 3 components of magic mouthwash, including usual ml dosage?
Definition
120 ml benadryl, 100 ml viscous lidocaine, 260 ml maalox
Term
what are the differences between aphthous ulcers and herpes (specifically in regards to common name, etiology, type of mucosa affected, and treatment)?
Definition
aphthous ulcers- canker sores, unknown, nonkeratinized, OTC & steroids

herpes- fever blister/cold sore, HSV, keratinized, OTC & antivirals
Term
what birth defects are associated with congenital rubella syndrome (german measles)?
Definition
deafness, heart disease, cataracts
Term
what does angular cheilitis RESULT from?
Definition
reduced vertical dimension, habitual licking of lips or drooling, immunosuppresion
Term
what is a common first manifestation of HIV infection? what does this present as, and where?
Definition
oral hairy leukoplakia; white mucosal lesions on the lateral borders of the tongue (don't rub off)
Term
what is pulpal sclerosis? it is associated with aging; what will you see clinically with this condition?
Definition
diffuse calcification of pulp; decreased thermal sensation and yellow color
Term
what is the condition for a patient with a red lesion on their palm?
Definition
erythema multiforme (bulls-eye or target lesions)
Term
what is the most common cause of oral mycotic infections?
Definition
candida albicans
Term
what is the only classification of periapical disease that a tooth with irreversible pulpitis can have? Why?
Definition
symptomatic apical periodontitis; because all others (asymptomatic apical periodontitis, acute/chronic apical abscess, cellulitis) involve necrotic pulp
Term
woody tongue
Definition
ludwig's angina in sublingual space; elevation, posterior enlargement, and protrusion of tongue
Term
Most common diagnoses of root radiolucency in order from first to third
Definition
apical granuloma, radicular cyst, apical scar
Term
what type of epithelium covers cysts?
Definition
stratified squamous
Term
what are 3 associated factors with hairy tongue? (not oral hairy leukoplakia!!)
Definition
smoking, poor OH, radiation
Term
chronic hyperplastic pulpitis (pulp polyps) are involved with?
Definition
kids with open root apices
Term
3 parts of hutchinson's triad?
Definition
hutchinson's incisors
ocular interstitial keratitis
eighth nerve deafness
Term
how to treat chickenpox? shingles?
Definition
vaccine when young; systemic antiviral if <60 vs. vaccine >60
Term
pinpoint bleed in roof of mouth
Definition
palatal peticheae; seen in mono (EBV)
Term
name one topical and two systemic treatments for recurrent HSV
Definition
penciclovir (cream)
valacyclovir & famciclovir
Term
differences between rubeola and rubella
Definition
rubella is usually milder (fewer complications) and it lasts only 3 days; rubella is transmissible to offspring during pregnancy and can cause deafness, heart dz, and cataracts in the baby
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