NURS 203 Lecture Notes - Shingles, Heart Murmur, T Helper Cell
Document Summary
Diseases of the mouth: herpes simplex; herpes labialis-(fever blisters and cold sores); primary herpes is a systemic infection. Have fever, viremia, generalized lymphadenopathy, and goes away; it stays in the sensory ganglia (dormant in the sensory ganglia) every now and then it can come out with stress, menses, whatever, and will form vesicles. Recurrent herpes is no longer systemic there is no more fever, and no more lymphadenopathy. Other virus that remain latent herpes zoster. Remains latent in the sensory ganglia; can involve the skin, lips, dermatomes. So, primary herpes is systemic, recurrent herpes is not. (no fever = no lymphadenopathy). if we enroot and stain, will see inclusion in herpes it is a multinucleated cell with internuclear inclusions. Biopsy of a multinucleated cell from a pt with hiv, with multiple internuclear inclusions herpes esophagitis: hairy leukoplakia. This is not an aids defining lesion, but is a preaids type of infection as is thrush, shingles.
