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Thursday, November 10, 2016

Description Of Mouth Ulcers With Pictures For Better Learning

Introduction: Ulceration in the  mouth is a common occurrence and it is important for the physician to distinguish between the simple benign ulcers from those which are malignant.

1. Traumatic: The diagnosis is usually obvious with the clinical history. Patients may have ill fitting dentures or sharp teeth. The ulcer usually heals when the precipitating cause is removed.
 
                                               Traumatic ulcer

2. Aphthous Ulcers: Patients present with small, painful ulcers, usually inside the cheeks or lips. They heal in about one week but others may occur while the initial ulcer is healing. It may be secondary to stress, inflammatory bowel disease or an underlying debilitating disease,
On examination they are white, small, circular, deep , painful ulcers with surrounding erythema.
                                                      Aphthous Ulcer

3. Infective: May be due to bacteria ( Acute ulcerative gingivitis), Viral ( herpes simplex), or fungal (Candidiasis) .

In Acute ulcerative gingivitis (also known as Vincent's angina) patients present with swollen gums with small ulcers, which may spread to the buccal mucosa. There may be bleeding from the gums along with constitutional symptoms like fever and malaise. There is associated tender lymphadenopathy.
                                                    Acute ulcerative gingivitis

Candidiasis is common and is seen in patients with diabetes, immunosuppresed states or debilitating
diseases. It appears as red patches on the buccal mucosa, which are covered with white patches of desquamated epithelium mixed with fungus.
                                                     Candidiasis

Herpes Simplex presents as painful vesicles which ulcerate. The patient may be immuno-compromised.
                                                  Herpes Simplex vesicles on the lower lip

Herpes zoster may sometimes occur on the palate in the distribution of the maxillary division of the trigeminal nerve. There will be severe pain and ulceration.

4. Neoplastic: Squamous cell carcinoma of the mouth occurs as ulcers with hard edges and bleed. Mostly seen in older patients and a history of leukoplakia may be present. Also other predisposing factors like smoking, syphillis, sharp tooth or long term use of spices may be present.
                                                  Squamous cell carcinoma of the mouth

5. Skin Disease Associated: Certain skin disorders can cause ulceration in the mouth like in linchen planus, pemphigus, pemphigoid and bullous erythema multiforme.
                                 Bullous erythema multiforme in a child secondary to drug reaction. 

6. Connective Tissue Disorders: Oral ulcers may be associated with SLE but patients usually present with other features of the disease rather than for the oral ulcers.

10 comments:

  1. Hello, my name is Betty. i was diagnosed of HIV virus 4 years back. Before then, i was dating this Derrick guy. we had something great going on. Our love life only lasted for 8 months. the sixth and seven month of our relationship, i began feeling very weak every now and then. But i never suspected anything until I kept on experiencing different symptoms like having sore throats, constant headache, body weakness e.t.c. I decided to go for a medical check up. I was tested HIV positive. when the doctor broke the news to me, it was as if my whole world had crumbled. it dawned on me then that Derrick has been lying to me. i was very mad to an extent i almost committed suicide. But there was nothing i could do, other than weep and weep. ever since then, i have been spending heavily on medications, going from one medical clinic or the other so I can look healthy. Though since i was a kid, i love herbs a lot. i take herbal tea with grandma while growing so i am quite familiar with herbs. early last year, i was on the internet and on a particular health blog, to check for herbal medication as alternative. I saw many comments and read many testimonies. Until i came across a particular testimony on how Dr.ugo cured a patient from herpes simplex virus using pure natural herbs. i reached out to the doctor because I also was thinking Herpes had no cure. I told him about my HIV status.He encouraged me not to panic that he will help me get my deliverance. he prepared some herbs and sent them to me. The herbs were in four 70ml bottles and I took them morning and night. i used as he directed, and in less than three weeks, i started having appetite to eat plenty of food and i gained back my strength. the fourth week,I consumed all the herbal meds. He encouraged me to go for a test which i did. This time, the result was negative. I quickly contacted the doctor and informed him of the news. I immediately asked him to prepare for Derrick too. He did and sent it. Today, me and Derrick are HIV free. All thanks goes to God Almighty for healing us through Dr.Ugo. if you are having any kind of sickness at all, Dr.Ugo is the right person to talk to and i assure you, you will be glad you did. His email: ugoherbalhome@gmail.com you can also write him on WhatsApp +2348104990619.

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    Replies
    1. Good news this is to everyone out there with different health challenges, as I know there are still a lot of people suffering from different health issues and are therefore looking for solutions. I bring you Good news. There is a man called Dr ehiaguna a herbal practitioner who helped cure me from HSV (2), i had suffered from this diseases for the past 5 years and i have spent so much money trying to survive from it. I got my healing by taking the herbal medicine Dr ehiaguna sent to me to drink for about 14 days . 3 days after completion of the dosage, I went for a medical checkup and I was tested free from HSV. all thanks to God for leading me to Dr ehiaguna who was able to cure me completely from this deadly diseases, I’m sharing this so that other people can know of this great healer called Dr ehiaguna because I got to know him through elizabeth who he cured from HIV. I was made to understand that he can cure several other deadly diseases and infections. Don’t die in ignorance or silent and don’t let that illness take your life. Contact Dr ehiaguna through his email  drehiaguna@gmail.com You can also whatsapp/call him on:+2348073908953 .He cure all forms of disease {1}HIV/AIDS {2}DIABETES {3}EPILEPSY {4} BLOOD CANCER {5} HPV {6} BRAIN TUMOR {7} HEPATITIS {8}COPD{9} SICKLE AND ANAEMIA.etc Be kind enough to share as you received.

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  2. Excellent article. Very interesting to read. I really love to read such a nice article. Thanks! keep rocking. health

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  3. I feel so excited today because it's just a year since I got my breakthrough from Herpes.I was diagnosed of HSV1 on the 12/4/2015 and latter i got affected with the HSV2. That was my 2nd outbreak after i lost my ex fiance that got me affected with the virus. I was so scared when he died and what i heard about the Herpes virus as he's deathly and such has no cure. I feel so pity and and a disgrace to my personality,in my career and my family to have been in with the deathly sickness, and that would makes my love ones siblings stay far from me. I was going to my regular church activities when i begin to hear testimonies of how people get cure online, i never gave it a thought till my cousin Stephanie who was affected with HIV told me, Lenny you need not to worry cos i met i man today online , i traditional herbal healer whom two of her friends confirmed he cure them with his herbal herbs that i should give it a try. I saw the interest in her and she did contact the herbal doctor again in my present, luckily for me he picked and show up himself, behold he was at about to attain to some patients that have came back with appreciation of how he cure them from Cancer, HIV, and off much too the herpes he cured an 18 years old daughter.
    I was so happy that day, i wanted to be there but the distance was a barrier to me. I told him how the virus had eaten me up and and a truly believe there's cure for herpes. He told me me with assurance that my case wont be different and he had been curing lots of people With his herbal medicine and most people due contact him from the States and preperd the medicine and made use of the DHL to reach him.
    Honestly speaking Dr. Akpu power his a great and gifted herbalist,His destined to herbs.
    He made me do away with the medical prescription,the acyclovir (Zovirax), famciclovir(Famvir), and valacyclovir (valtrex). you don't know him because you haven't meet this man try and contact him yourself Dr. Akpu in Africa is popularly known in his City,and you can request for his address yourself. I'm so happy now cos,I and my cousin had been confirmed negative till date..the Lord is good in my life. Dr. Akpu sent me his herbal medicine that heal me too, 🙏 🙏 Dr. Akpu for giving me another life.
    Contact Dr.akpu for all kids of sickness@
    Dr.akpupowerherbscenter@gmail.com

    ReplyDelete
  4. Hi, I am Joy Bella from Houston, Texas, USA. I was living with HPV(human papilloma virus) for almost 2 years, I was not myself, my body was always itching with pains until I was on the internet searching for a remedy. So luckily, i was reading testimonials of clients who was cured of herpes by the amazing spell caster named Dr Oluta spell doctor from West Africa.I contacted him by email, and within 15 minutes he got back to me and ask of my details which i provide to him, he consulted his oracle and told me the solution to my problem and how to go about it, i did is he told me and about the two days i got the cure which he prepared and send to me through DHL service, i took the cure as instructed by him getting to two days i was cured, my HPV(human papilloma virus) was cured up. All thanks to the superb healing herbs of Dr oluta
    You too can get in contact with him today if you wanna be cured from HPV(human papilloma virus) you having by email:  dr.olutaspellcaster@gmail.com or whatsapp +2349065326267
    you can still get in touch with me to know more my cure, here is mine email joybella425@gmail.com 
    Thank you so much great one.. I will continue to testify of your goodness to the universe.    

    ReplyDelete
  5. Good news this is to everyone out there with different health challenges, as I know there are still a lot of people suffering from different health issues and are therefore looking for solutions. I bring you Good news. There is a man called Dr ehiaguna a herbal practitioner who helped cure me from HSV (2), i had suffered from this diseases for the past 5 years and i have spent so much money trying to survive from it. I got my healing by taking the herbal medicine Dr ehiaguna sent to me to drink for about 14 days . 3 days after completion of the dosage, I went for a medical checkup and I was tested free from HSV. all thanks to God for leading me to Dr ehiaguna who was able to cure me completely from this deadly diseases, I’m sharing this so that other people can know of this great healer called Dr ehiaguna because I got to know him through elizabeth who he cured from HIV. I was made to understand that he can cure several other deadly diseases and infections. Don’t die in ignorance or silent and don’t let that illness take your life. Contact Dr ehiaguna through his email  drehiaguna@gmail.com You can also whatsapp/call him on:+2348073908953 .He cure all forms of disease {1}HIV/AIDS {2}DIABETES {3}EPILEPSY {4} BLOOD CANCER {5} HPV {6} BRAIN TUMOR {7} HEPATITIS {8}COPD{9} SICKLE AND ANAEMIA.etc Be kind enough to share as you received.

    ReplyDelete
  6. Never give up in life they all say no cure to HSV 2 which is a big lie I have pass through many process also i never believe there is really cure to HERPES until I meet Dr.Aire the doctor that have been helping many people for many years, I come across this doctor online when I was searching for cure online I found out about this man, and to my greatest surprise this man have the herbal medicine which I have been looking for years I explain my problem to him through the email I found on someone who testify about him also, Dr.Aire write me a reply and explain how the process work so after ordering for the medicine I got it within 4 days and I took it according to the way Dr.Aire instructed, I was so happy after two week I took the medicine there was very big change in my health when I was done with the process I go for test, I found out I am negative that was the day I have the tears of joy you can also get in contact with my doctor through his email now drairehome@gmail.com or you can also WhatsApp him +2347036740271. And He also have herbs medicine to cured the following diseases; eczema,urethra wart,chronic problems.Herpes, Cancer, Als,Hepatitis, Diabetes, HPV,Infections,ulcer ETC

    ReplyDelete
  7. - [ ] I'm here to testify about the great work Dr Osebor did for me. I have been suffering from (HERPES) disease for the past 5 years and had constant pain, especially in my knees. During the first year,I had faith in God that i would be healed someday.This disease started circulating all over my body and i have been taking treatment from my doctor, few weeks ago I came across a testimony of one lady on the internet testifying about a Man called Dr Osebor on how he cured her from HIV Virus. And she also gave the email address of this man and advise anybody to contact Dr Osebor for help for any kind of sickness that he would be of help, so I emailed him on ( oseborwinbacktemple@gmail.com ) telling him about my (HERPES Virus) he told me not to worry that i was going to be cured!! Well i never believed it,, well after all the procedures and remedy given to me by this man few weeks later i started experiencing changes all over me as Dr Osebor assured me that i will be cured,after some time i went to my doctor to confirmed if i have be finally healed behold it was TRUE, So 
    - [ ] friends my advise is if you have such sickness or any other at all you can contact Dr Osebor via email. { oseborwinbacktemple@gmail.com }or call or what sapp him on( +2348073245515 )
    - [ ] DR osebor CAN AS WELL CURE THE FOLLOWING DISEASE:-
    - [ ]  HIV/AIDS
    - [ ]  HERPES
    - [ ] CANCER
    - [ ] ALS
    - [ ] cancer 
    - [ ] Diabetes
    eye problem etc.

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