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56 Cards in this Set
- Front
- Back
What is a clinical term to describe a red patch?
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Erythroplakia
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What type of Pt might you see erythroplakia in?
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A chronic tobacco/alcohal user
**This is a possible pre-maligancy 85% of the time.** |
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Is erythroplakia inflammatory in nature?
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No!
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What type of TX might be considered for erythroplakia?
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Removal of the lesion,
Chemo/radiation, Close follow up |
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What is a clinical term to describe a collection of blood within tissue space?
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Hematoma
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Will a hematoma blanch?
Why or why not? |
No, because its not a vascular lesion.
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What is a hemangioma?
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A benign proliferation of blood vessels.
*Remember, is seen in young children/infants* |
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What might a red or brown lesion be an indicator of?
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Possible maligancy.
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What is Telangiectasia?
What age group is more likely to have it? |
Spider veins in the face.
Typically more in the elderly but = in males/females. |
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What is erythematous candidiasis?
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A common, red looking, candidiasis.
(May look like herpes if on commisures) |
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Candidiasis can appear as ________ & ________ lesions.
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Red & White.
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Patients who have ____________are often more likely to experience Erythematous Candidiasis.
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Dentures
*Be sure the PT is cleaning them regularly, may need to disinfect.* |
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Which populations would Oral Submucous Fibrosis be found in?
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Usually in developing countries, but with immigration it is being seen more in the US.
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What does Oral Submucosis Fibrosis look like?
What is a DD of it? |
Has a white marble appearance in the buccal mucosa.
DD: lichen planus |
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What are 2 pigmented lesions that are variants of normal?
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Amalgam Tattoo Oral Pigmentation
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What might the tissue around a titanium implant look like?
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Grey-blue tissue around the gingiva.
(The tissue is so thin the metal shows through.) |
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What type of pigmentation would have Grey, Blue or Black around the gingival margin?
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Heavy metal pigmentation.
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What are 2 examples of medications where pigmentation is involved?
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Minocycline tetracycline
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What is another name for Minocycline tissue staining?
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Black bone staining
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What is another name for a benign mole?
Where in the oral cavity is likely to be found? |
Nevus
The hard palate is the most common intraoral site. |
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What is the DD for a Nevus?
What is the TX? |
DD: Amalgam tattoo, melanoma, hemangioma
Tx: Monitor |
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Wht is the term for a freckle on the lip?
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Ephelis (macule)
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How would you describe an oral melanoma?
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Its usually located on the hard palate and maxillary gingiva. Usually has irregular/asemmetical boarders. Usually dark in color
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Who is more likely to have an oral malanoma?
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Men 40+, Can be deadly so keep an eye on it.
*Always investigate a dark lesion.* |
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How might someone get Frictional Keratosis?
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Cheek Biting, Ortho Tx, Broken or Missing teeth, Bruxing
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Is Frictional Keratosis rare or common?
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Common
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Why can't you just wipe it off?
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Keratin is produced to protect the site and won't simply wipe away.
The condition must be alleviated. |
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What is the DD for Frictional Keratosis?
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Leukoplakia, Lichen planus, hyperplastic candidiasis.
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What is the most common white lesion in pipe or heavy smokers?
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Nicotine Stomatitis
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What is nicotine stomatitis?
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Hyperkeratosis on the palate with possible inflamed minor salivary gland ducts.
(Looks like red or brown spots in the keratin) |
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Although its relatively rare, which population would you see chemical burns?
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The elderly.
Often from sucking on an asprin to alleviate a toothache. |
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Thermal burns are a result of?
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Hot Food!
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What might a chemical or thermal burn look like?
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Localized white plaques.
DO NOT RUB THEM OFF--can cause raw or bleeing "under tissue". |
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What is the DD for Chemical/Thermal burns?
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Frictional keratosis, hyperplastic candidiasis, lichen planus
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What is Candidiasis?
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A fungal infection caused gy the Candida C. albicans
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Where can candidiasis be found?
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Mouth, GI tract & vagina.
(Same bacteria can be in all locations) |
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What type of infection is candidiasis?
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Opportunistic!
*You might see this in Pt's with asthma in the back of the throat due to the inhaler* |
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What is the usually appearance of candidiasis?
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White apperance but has an erythematous form as well.
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If the candidiasis is wiped off what will the appearance be?
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Red, ulcertative look to the underlying tissues.
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What is the Tx for this fungus?
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Antifungal
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What is another name for Acute pseudomembranous candidiasis?
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Thrush
Its common in newborns. |
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Where would Thrush be located?
Can it be wiped off? |
It has both extra and intra oral characteristics.
(Can often be found in skin/fat folds) Yes it can be wiped off, a bleeding base is rare. |
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DD?
Tx? |
Most lesions that wipe off are candidiasis.
Tx: antifungal |
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How would you treat dentures or partials for a Pt with acute pseudomembranous candidiasis?
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They need to be disinfected so as to avoid re-infecting the area.
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What is the rarest form of candidiasis?
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Chronic Hyperplastic Candidiasis
** It is the only form to show possibility of pre-malignancy in a low amount of cases** |
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What characteristic of Chronic Hyperplastic Candidiasis is unlike other forms of candidiasis?
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It won't rub off!!
(Has a thick, raised, white plaque.) |
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What disease states is Hairy Leukoplakia associated with?
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EBV (Epstein Barr Virus) and HIV.
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What is the most common site for Hairy Leukoplakia?
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Lateral boarder of tongue, often is Bilateral!
Won't wipe off! |
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What would be the DD of Hairy Tongue?
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Frictional keratosis, lichen planus, candidiasis, possible burns.
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What is the origin of Lichen Planus?
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This inflammatory disorder has an unknown cause.
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Which sex is more likely to have lichen planus and what surface is it usually located?
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Female 90%
Buccal mucosa |
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What conditions can exaserbate lichen planus?
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Stress & Anxiety
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What are the 6 forms of Lichen Planus? Which is most common?
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1) Atrophic (red patches with white)
2) Bullous 3) Erosive (angry red ulcerated look) 4) Papular 5) Plaque like 6) Reticular- Wickam striae **Most common form** |
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What is White Sponge Nevus?
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A mutation in the keratin gene. It's genetic
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Is White Sponge Nevus usually seen laterally or bilatterally?
Will it rub off? |
Most often bilaterally.
No it won't rub off. Usually is located on the buccal mucosa. |
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DD For White sponge nevus? Tx?
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DD: Cheek Chewing, Lichen planus, leukodema Tx: None
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