Gastrointestinal Diseases and Oral Manifestations
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Questions and Answers

Which journal published the article 'Oral Manifestations of IBD' in 2005?

  • Clin Gastro Hepatol (correct)
  • NEJM
  • British Dental Journal
  • Can J Gastroenterol

What are the oral manifestations of IBD mentioned in the text?

  • Tonsillar Crohn's disease
  • Macrochelia
  • Pyostomatitis vegetans (correct)
  • Oral aphthous ulcer

What is the differential diagnosis for recurrent aphthous stomatitis mentioned in the text?

  • Behcet's disease
  • Vitamin and mineral deficiencies
  • Celiac disease
  • Inflammatory bowel disease (correct)

What are the GI complications of IBD mentioned in the text?

<p>Colon cancer (D)</p> Signup and view all the answers

Which medical treatment for IBD is an anti-inflammatory drug?

<p>Mesalamine (B)</p> Signup and view all the answers

Which medical treatment for IBD is known for its high side effect profile?

<p>Steroids (D)</p> Signup and view all the answers

Which medical treatment for IBD is a potent immune suppressant?

<p>Biologics (C)</p> Signup and view all the answers

What is a potential risk of IBD therapy mentioned in the text?

<p>All of the above (D)</p> Signup and view all the answers

What caution is advised for dental patients with IBD?

<p>Avoid NSAIDs use (C)</p> Signup and view all the answers

What is a possible cause of severe erosion of molar enamel in a 36-year-old woman mentioned in the text?

<p>Frequent heartburn (D)</p> Signup and view all the answers

Which of the following is a symptom of GERD?

<p>Chest pain (C)</p> Signup and view all the answers

What is the main mechanism of injury in dental erosion caused by GERD?

<p>Direct contact of acid (D)</p> Signup and view all the answers

Which of the following is NOT associated with GERD?

<p>Calcium channel blockers (D)</p> Signup and view all the answers

What is the most common oral manifestation of GERD?

<p>Burning/itching mouth sensation (A)</p> Signup and view all the answers

Which of the following is a complication of GERD?

<p>Dysphagia (A)</p> Signup and view all the answers

What is the main cause of dental erosion in GERD patients?

<p>Direct contact of acid (C)</p> Signup and view all the answers

Which of the following medications is NOT associated with GERD?

<p>Beta blockers (D)</p> Signup and view all the answers

What is the primary pathogenesis of GERD?

<p>Impairment of lower esophageal sphincter competence (C)</p> Signup and view all the answers

Which of the following is a lifestyle factor associated with GERD?

<p>Obesity (D)</p> Signup and view all the answers

What is the most common sign of GERD in the oral cavity?

<p>Dental erosion (A)</p> Signup and view all the answers

Which gastrointestinal disease is associated with chronic idiopathic intestinal inflammation?

<p>Crohn's disease (C)</p> Signup and view all the answers

Which of the following is NOT an environmental trigger for inflammatory bowel disease (IBD)?

<p>Genetic susceptibility (D)</p> Signup and view all the answers

Which gastrointestinal disease is characterized by inflammation largely limited to the mucosal layer?

<p>Ulcerative colitis (B)</p> Signup and view all the answers

Which gastrointestinal disease can involve any location from mouth to anus?

<p>Crohn's disease (A)</p> Signup and view all the answers

Which gastrointestinal disease is associated with perianal disease, strictures, bowel obstruction, and fistulae?

<p>Crohn's disease (D)</p> Signup and view all the answers

Which of the following is NOT an extraintestinal manifestation of inflammatory bowel disease (IBD)?

<p>Uveitis (A)</p> Signup and view all the answers

Which gastrointestinal disease is associated with gallstones and primary sclerosing cholangitis (PSC)?

<p>Ulcerative colitis (C)</p> Signup and view all the answers

Which of the following is NOT an oral manifestation of inflammatory bowel disease (IBD)?

<p>Erythema nodosum (A)</p> Signup and view all the answers

Which gastrointestinal disease is associated with malabsorption syndromes such as celiac disease?

<p>Malabsorption syndromes (C)</p> Signup and view all the answers

Which gastrointestinal disease is associated with cirrhosis?

<p>Cirrhosis (A)</p> Signup and view all the answers

Flashcards

Inflammatory Bowel Disease (IBD)

A chronic inflammatory condition affecting the digestive tract, characterized by recurrent episodes of inflammation and remission.

Recurrent Aphthous Stomatitis

A common oral manifestation of IBD, characterized by painful sores in the mouth.

Ulcerative Colitis

A form of IBD affecting only the large intestine (colon), characterized by inflammation of the lining.

Crohn's Disease

A form of IBD affecting any part of the digestive tract, from mouth to anus, characterized by inflammation in patches.

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Osteoporosis

A potential complication of IBD, characterized by a weakening of the bones.

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Mucogingivitis

Common oral manifestation of IBD, characterized by inflammation of the gums.

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Sulfasalazine

A type of anti-inflammatory drug used to treat IBD, but may have side effects like osteoporosis.

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Azathioprine

A powerful immune suppressant used in IBD treatment, but may have serious side effects.

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Heartburn

A condition characterized by heartburn, a common symptom of GERD.

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Gastroesophageal Reflux Disease (GERD)

A condition caused by the backward flow of stomach acid into the esophagus, leading to various symptoms including heartburn.

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Dental Erosion

The most common oral manifestation of GERD, characterized by the wearing away of tooth enamel due to acid exposure.

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Esophagitis

A complication of GERD, characterized by inflammation of the esophagus caused by acid reflux.

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GERD Risk Factor

Any factor that can increase the risk of developing GERD, such as obesity, diet, and lifestyle.

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Celiac Disease

A medical condition characterized by chronic inflammation of the small intestine, often leading to malabsorption.

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Cirrhosis

A chronic, progressive liver disease that can lead to scarring and dysfunction of the liver.

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Antacids

A type of medication used to neutralize stomach acid, often used to treat GERD.

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Bruxism

A condition characterized by grinding teeth, not directly related to GERD but can contribute to tooth wear.

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Esophageal pH Monitoring

A medical test used to diagnose GERD, involving inserting a tube into the esophagus to measure acid levels.

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Fundoplication

A medical procedure to treat GERD, involving surgically tightening the lower esophageal sphincter to prevent acid reflux.

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Migratory Polyarthritis

A form of inflammatory arthritis affecting multiple joints, often associated with IBD.

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Primary Sclerosing Cholangitis (PSC)

A medical condition characterized by inflammation of the bile ducts, a potential complication of IBD.

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Gallstones

A condition characterized by the presence of stones in the gallbladder, often associated with IBD.

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Proton Pump Inhibitor (PPI)

A type of medication used to treat GERD by blocking the production of stomach acid.

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Intestinal Stricture

A condition characterized by an abnormal thickening or narrowing of the intestinal wall, often a complication of Crohn's disease.

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Fistula

A type of abnormal opening or connection between two organs or structures, often a complication of Crohn's disease.

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Bowel Obstruction

A condition characterized by blockage of the intestine, often a complication of Crohn's disease.

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H2 Blockers

A type of medication designed to protect the stomach lining from acid damage, less directly related to GERD but might be used alongside other treatments.

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Perianal Disease

Abnormal skin growths near the anus, a potential complication of Crohn's disease.

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Prokinetic Agent

A type of medication used to treat GERD, but less commonly used now.

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Study Notes

Oral Manifestations of IBD

  • The article "Oral Manifestations of IBD" was published in 2005.
  • Oral manifestations of IBD include recurrent aphthous stomatitis, mucogingivitis, and mucosal tags.

Differential Diagnosis

  • Differential diagnosis for recurrent aphthous stomatitis includes Behcet's disease, herpes simplex, and Magic syndrome.

GI Complications of IBD

  • GI complications of IBD include diarrhea, abdominal pain, and weight loss.

Medical Treatment for IBD

  • Sulfasalazine is an anti-inflammatory drug used to treat IBD.
  • Corticosteroids are known for their high side effect profile.
  • Azathioprine is a potent immune suppressant.

Risks and Precautions

  • A potential risk of IBD therapy is osteoporosis.
  • Caution is advised for dental patients with IBD due to increased risk of bleeding and infection.
  • Severe erosion of molar enamel in a 36-year-old woman can be caused by GERD.

GERD

  • Heartburn is a symptom of GERD.
  • The main mechanism of injury in dental erosion caused by GERD is acid reflux.
  • Not associated with GERD is tooth wear due to bruxism.
  • The most common oral manifestation of GERD is dental erosion.
  • A complication of GERD is esophagitis.
  • The main cause of dental erosion in GERD patients is acid reflux.
  • Not associated with GERD is antacid medication.
  • The primary pathogenesis of GERD is relaxation of the lower esophageal sphincter.
  • Lifestyle factor associated with GERD is obesity.
  • The most common sign of GERD in the oral cavity is dental erosion.

Gastrointestinal Diseases

  • Inflammatory bowel disease (IBD) is associated with chronic idiopathic intestinal inflammation.
  • Not an environmental trigger for IBD is diet.
  • Ulcerative colitis is characterized by inflammation largely limited to the mucosal layer.
  • Crohn's disease can involve any location from mouth to anus.
  • Crohn's disease is associated with perianal disease, strictures, bowel obstruction, and fistulae.
  • Not an extraintestinal manifestation of IBD is migratory polyarthritis.
  • Ulcerative colitis is associated with gallstones and primary sclerosing cholangitis (PSC).
  • Not an oral manifestation of IBD is geographic tongue.
  • Celiac disease is associated with malabsorption syndromes.
  • Cirrhosis is associated with chronic liver disease.

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Description

Test your knowledge on the correlation between gastrointestinal diseases and their oral manifestations in this informative quiz. Learn about the unique oral signs that can indicate underlying medical conditions.

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