30 Most Common w/ Pictures Flashcards
Dx
Leukoplakia
Dx and first step of tx?
leukoplakia, and take a biopsy. When in doubt, cut it out!
Pt lets medication sit in their mouth. Dx?
aspirin burn. tell pt to stop letting it sit there.
Pt switched toothpastes. Dx?
Toothpaste allergy. Tell them to use a different toothpaste.
Black pt and the coloring disappears upon stretching. Dx?
Leukoedema. No tx necessary.
Pt smokes. Dx?
Nicotine stomatitis.
Dx?
Palatal tori
Dx and tx?
Mandibular tori. No tx unless necessary. Ostectomy would be done.
Pt remembers trauma to the area. Dx and tx?
Dx: traumatic ulcer
Tx: inject 10mg/cm of Kenalog-10 (10mg/ml) or Kenalog-40 (40mg/ml) into the lesion
*remember for a 1x1cm lesion that would be 1ml of kenalog-10 and 0.25ml of kenalog-40
Dx and topical tx?
Dx: traumatic ulcer
Rx: Clobetasol propionate 0.05% gel (Temovate)
Disp 15g tube
Sig: dry affected area and apply thin amount BID-TID
Refills: 1
Dx and Tx?
Pericoronitis, gingivectomy for tx or possible extraction if on a third molar
Dx?
Parulis
Dx?
acute necrotizing ulcerative gingivitis (ANUG)
Dx?
Fibroma
Dx and tx?
Fibroma, and surgical excision for tx
Dx?
Fibroma
Dx and tx?
Fordyce granules. No tx, just educate the pt about them.
Dx?
hemangioma
Dx and Tx?
Hemangioma. Tx options: do nothing and watch, excision, sclerotherapy
Dx?
Aphthous ulcer
Dx and topical Rx?
Dx: aphthous ulcers
Rx: Clobetasol propionate .05% gel
Disp: #1 15g (or 30g) tube
Sig: dry area and apply thin amount, bid-tid
Refills: 0
Dx and rinse Rx?
Dx: recurrent aphthous ulcer
Rx: Dexamethasone elixir 0.5mg/5ml (Decadron)
Disp: 240ml bottle
Sig: rinse w/ 1 tsp. for 3-4 min after meals and at bedtime and expectorate
Refills: 3
Dx and OTC (over the counter) tx?
Dx: RAU
OTC Tx: canker cover
Dx and tx?
Papilloma, surgical excision
Dx?
Papilloma
What type of papilloma?
verrucous vulgaris
Type of papilloma?
condyloma accuminatum
Type of papilloma?
focal epithelial hyperplasia
Type of papilloma?
sinonasal papilloma
Dx and Tx?
Epulis fissuratum. No tx unless neccessary - surgical excision.
Dx and tx?
Lingual varices. No tx - just educate the pt.
Dx?
Fissured tongue
Dx and tx?
Dx: geographic and fissured tongue
Tx: Keep the fissures clean and avoid foods that make the geographic tongue hurt/burn. Educate the pt.
Dx?
geographic tongue (aka benign migratory glossitis)
Also, present on the tongue. Dx?
benign migratory glossitis
Dx and tx?
Papillary hyperplasia. If tx is necessary, surgical excision of hyperplasia and reline/rebase denture
Dx and tablet Rx?
Dx: oral herpes
Rx: Valacyclovir 500mg (Valtrex)
Disp: #28 tabs
Sig: take 2 tabs bid
Refills: 3
Dx, topical tx, and possible prophylaxis?
Dx: herpes
Prophylaxis: L-Lysine 500mg tabs, 1 tab daily
Rx: Acyclovir 5% ointment
Disp: 15g tube
Sig: apply 5x daily with fingercot at the first symptom
refills: 1
Dx?
mucocele
Dx and tx?
Mucocele. Surgical excision with associated gland.
Dx?
Just scar tissue. No tx.
Dx and tx?
Dx: Angular cheilitis
Tx: increase vertical dimension
Rx: antifungal (and maybe a steroid)
What combination drug could you prescribe for angular cheilitis?
Mycolog II ointment (Triamcinolone 0.1% and Nystatin 100,000 unit/g)
Disp 15g tube
Sig: apply tid until healing occurs
What lozenge could you prescribe for angular cheilitis?
Clotrimazole troche 10mg (Mycelex)
Disp #50
Sig: dissolve 1 troche in mouth 5 times per day
What antifungal mouth rinse could you prescribe?
Nystatin oral suspension (Mycostatin) 100,000 unit/ml
Disp 240 ml
Sig: rinse with 1-2 tsp for 2 min and expectorate. (swallow if affecting oropharynx)
Dx and tx?
Dx: pseudomembranous candidiasis
Rx: Mycostatin (nystatin oral suspension) 100,000 units/ml
Disp 240 ml
Sig: rinse 1-2 tsp for 2 min and expectorate, 5 times per day
Dx?
Lingual tonsil. No tx, just educate pt.
Doesn’t blanch upon pressure. Dx and tx?
Hematoma. No tx.
Dx?
Tobacco pouch keratosis
Dx and tx?
Dx: tobacco pouch keratosis
Tx: Quit dipping or place dip in another spot for 2+ weeks. Follow up with pt to see if keratosis has gone away - if not then consider a biopsy.
What can tobacco pouch keratosis possibly turn into?
Verrucous carcinoma
Dx?
Morsicatio buccarum
Dx and tx?
Dx: Chronic cheek chewing (aka morsicatio buccarum)
Tx: maybe make a mouth guard if pt can’t help from biting their cheek
Dx?
Morsicatio linguarum
Dx?
reticular Lichen Planus
Dx and tx?
Dx: reticular lichen planus
Rx: Dexamethasone elixir (Decadron) 0.5mg/5ml
Disp 12-16 oz. bottle
Sig: rinse 1 tsp for 2 min bid-qid and expectorate
Dx and ointment Rx?
Dx: reticular lichen planus
Rx: Clobetasol propionate (Temovate) 0.05% gel
Disp 15g (or choose 30g) tube
Sig: dry affected area and apply thin amount BID-TID
Dx and ointment Rx? (other than clobetasol)
Dx: reticular lichen planus
Rx: Fluocinonide (Lidex) 0.05% gel
Disp 15g (or choose 30g) tube
Sig: dry and apply TID-QID
Dx?
erosive lichen planus
Dx?
erosive lichen planus
Dx?
buccal exostoses
Dx?
amalgam tattoo
Dx and tx?
Amalgam tattoo. No tx.
Dx?
oral melanotic macule
Dx and tx?
Oral melanotic macule. No tx. If it can’t be confirmed as this dx then take a biopsy.
Dx?
median rhomboid glossitis
Dx and tx?
Dx: median rhomboid glossitis
Rx: Mycostatin (nystatin oral suspension) 100,000 units/ml
Disp 240 ml
Sig: rinse 1-2 tsp for 2 min and expectorate
Dx and tx?
Black hairy tongue. Remove extra keratin from tongue and educate pt.
Dx and etiology?
Smooth red tongue. Can be caused by pernicious anemia, medications or avitaminosis.
Dx and tx?
Smooth red tongue. Treat underlying cause/condition.
Dx?
Epidermoid cyst
Dx?
Epidermoid cyst.
Dx and tx?
Lipoma
Dx and tx?
Lipoma. Surgical excision necessary.
