Michael's Opath Ddx Cards 2

Front 1

white lesions that rub off

Back 1

white lesions w/ rubbing (bc he rubbed one out in a movie theater); material alba; mucous patch; chemical burn (asprin), toothpaste sloughing, denture paste; collapsed bullae

Front 2

white lesions that do not rub off

Back 2

white lesions w/o rubbing; white sponge nevus; idiopathic leukoplakia; bloodroot leukoplakia; snuff dippers leukoplakia; leukoedema; surgical scar; actinic cheilitis; actinic keratosis; hairy leukoplakia; hairy tongue; nicotinic stomatitis; palifermin keratosis; lichen planus; lichenoid mucositis; lichenoid drug rxn; chronic hyperplastic candidiasis; linea alba; herditary benign epithelial dyskeratosis; SLE; SCC; submucous fibrosis

Front 3

papillary (warty) lesions

Back 3

Papillary Warts; condyloma acuminatum; verrucous carcinoma; verruca vulgaris; verrucous keratosis; proliferative verrucous leukoplakia; papillary squamous carcinoma; focal epithelial hyperplasia; inflammatory papillary hyperplasia

Front 4

red and/or vascular lesions

Back 4

red/vascular lesions; kaposi's sarcoma; hemangioma; hereditary hemorrhagic telangectasia; varicose; erythematous candidiasis; erythroplakia; xerostomia (radiation induced); plasma cell gingivitis; displaysia; fissured tongue; carcinoma-in-situ/carcinoma; lichenoid mucositis caused by NSAIDs, ACE inhibitors, diuretics, PCN, anti-malarials

Front 5

Red ecchymoses

Back 5

special red lesions; ecchymosis; hereditary hemorrhagic telangectasia; scarlett fever; geographic tongue; petechiae; suction; mononucleosis; Upper respiratory infection; bruises; hemopheliac; leukemia; idiopathic; granulation tissue

Front 6

red gums

Back 6

red gums; +nikosky test; pemphigoid; pemphigus vulgaris; chronic ulcerative stomatitis; erosive lichen planus w/ wickham striae

Front 7

non-healing ulcers

Back 7

Non-healing ulcers; gonorrhea; tuberculosis; primary (chancre), secondary, tertiary (gumma) syphilis; SCC; Chron's dz; chronic trauma; basal cell CA; behcet's syndrome; histoplasmosis; chornic apthous ulcers; apthous ulcers (recurrent or chronic); actinomycosis; necrotizing sialometaplasia

Front 8

short term ulcers

Back 8

Short term ulcers; acute trauma from physical/chemical injury; minor aphthous ulcers; erythema multiforme; cyclic neutropenia

Front 9

vesicular lesions

Back 9

vesicular lesions; measles (Koplik spots); shingles (V. Zoster - unilateral); hand-foot-mouth dz (cocksackie A); herpangina (soft palate); HSV I and II

Front 10

bullous/erosive lesions

Back 10

bullouse/erosive lesions; epidermolysis bullosa; bullous pemphigoid; cicatricial pemphigoid; pemphigus vulgaris; chronic ulcerative stomatitis; erythema multiforme; lichen planus; steven johnson syndrome; graft vs host dz

Front 11

flat/circumscribed pigmented lesions

Back 11

ephelis; flat, non circumscribed (diffuse) pigmentation; solar(actinic) lentigo; lentigo simplex; café au lait; peutz jeghers syndrome; melanotic macule; juncitonal nevus; special pigmentations (blue nevus; nevus of ota; mongolian spots; halo nevus); albright syndrome

Front 12

flat/non-circumscribed pigmented lesions

Back 12

(FLAT) non circumscribed pigmented lesions; suntanning/physiologic pigmentation; addison's dz; melasma; smoker's melanosis; post-inflammatory hyperpigmentation; SLE; drug induced: chemo therapy, heavy metals, tetracycline, anti-malarials, amiodarone

Front 13

raised pigmented lesions

Back 13

dermatosis papulosa nigra; raised pigmented lesions; acral lentigous melanoma; lentigo maligna melanoma; superficial spreading melanoma; melanocytic nevus; nodular melanoma; seborrheic keratosis

Front 14

special pigmented lesions

Back 14

nevus of ota; special pigmented lesions; mongolian spots; halo nevus

Front 15

non-melanocytic pigmented lesions

Back 15

amalgam tattoo; heavy metal pigment; non melanocytic pigmented lesions

Front 16

localized gingival lumps

Back 16

localized gingival lumps; gingival fibrous nodule; peripheral giant cell granuloma; peripheral ossifying fibroma; peripheral odontogenic fibroma; pyogenic granuloma; retrocuspid papilla; focal fibrous hyperplasia; Away from sulcus: gingival cysts; parulis; exostosis

Front 17

infant-related gingival lumps

Back 17

infant gingival bumps; melanotic neuro ectodermal tumor of infancy; dental lamina cyst; epignathus; congintal epulis; eruption cyst (*note these are usu. away from the sulcus)

Front 18

generalized gingival lumps

Back 18

generalized gingival lumps; leukemia-induced gingival hyperplasia; drug induced: phenytoin, nifedipine, cyclosporin; fibromatosis gingivae; pregnancy, puberty, diabetes induced gingival hyperplasia

Front 19

lateral neck lumps

Back 19

branchial cleft cyst; lateral lumps; hodgkins lymphoma; non-hodgkins lymphoma; non-specific lymphadenitis; tuberculosis; lymphangioma; metastatic carcinoma; carotid body tumor

Front 20

midline neck lumps

Back 20

midline neck lumps; thyroglossal duct cyst; dermoid cyst; goiter; papillary thyroid tumor; follicular tyroid tumor; anaplastic thyroid tumor; medullary thyroid tumor

Front 21

parotid lumps

Back 21

polycystic disease; sialadenosis; non-specific parotitis; pleomorphic adenoma; mumps; oncocytoma; adenoid cystic carcinoma; warthins tumor; cytomegalovirus infection; mucous retention cyst; sjorgens syndrome; malignant mixed tumor; muco-epidermoid carcinoma; acinic cell carcinoma; sialoliathasis; obstructive injury

Front 22

palatal lumps

Back 22

palate lumps; pleomorphic adenoma; polymorphic low grade adenomcarcinoma; torus; peritonsilar abcess; incisive canal cyst

Front 23

tongue lumps

Back 23

Granular cell tumor; lumps on the tongue; lingual thyroid; amyloid nodule; rhabdomyoma; rhabdomyosarcoma; angioma; angiosarcoma; fibroma; neurofirboma; mucocele

Front 24

buccal mucosa and lip lumps

Back 24

cheek and lip lumps; pleomorphic adenoma; canilicular ademona; mucocele; mucous retention cyst; focal fibrous hyperplasia; fibroma

Front 25

floor of the mouth lumps

Back 25

pleomorphic adenoma; ranula; mucocele; mucous retention cyst; floor of the mouth lumps; BLEC (benign lymphoepithelial cyst)