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8: injury Flashcards

1
Q

TUGSE spell out

A

traumatic ulcerative granuloma with stromal eosinophilia

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2
Q

TUGSE in infants

A

riga fede

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3
Q

riga fede histo

A

TUGSE

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4
Q

TUGSE unrelated to trauma

A

atypical histiocytic granuloma

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5
Q

atypical histiocytic granuloma histo

A

TUGSE but not related to trauma

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6
Q

riga fede syndromes

A

Riley-Day, indifference to pain, Lesch-Nyhan, Gaucher, cerebral palsy, Tourette

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7
Q

cotton roll stomatitis how does it come about

A

cotton roll strips epithelium or absorbs chemicals that damage mucosa

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8
Q

coagulative necrosis histo

A

outlines of cells and nuclei

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9
Q

outlines of cells and nuclei on histo

A

coagulative necrosis

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10
Q

BRONJ offenders

A

pamidronate and zoledronic acid

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11
Q

sensation of insects crawling on skin: name and why

A

parasitosis/formication
sensation of insects crawling on skin
methamphetamine users

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12
Q

trauma from trying to remove hallucinatory insects with meth

A

speed bumps/meth sores/crank bugs

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13
Q

exfoliative cheilitis from chronic injury

A

factitious cheilitis

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14
Q

burton’s line

A

gingival blue line in lead intoxication

similar with silver and bismuth

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15
Q

gingival blue line in lead intoxication

what other metals

A

burton’s line

also silver and bismuth

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16
Q

chronic mercury intoxication aka and what

A

acrodynia aka swift disease, pink disease

cold hands, feet, nose, ear, irritability

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17
Q

acrodynia what and aka

A

chronic mercury intoxication
aka swift disease, pink disease
cold hands, feet, nose, ear, irritability

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18
Q

chronic silver intoxication

A

argyria

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19
Q

arsenical keratosis what’s special

A

premalignant

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20
Q

after topical gold therapy

A

chryasis: blue discoloration of skin

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21
Q

chryasis

A

blue discoloration of skin after gold therapy

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22
Q

cutright lesion histologically

A

reactive osseous and chondromatous metaplsia

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23
Q

air inside parotid

A

pneumoparotid

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24
Q

hamman’s crunch

A

crepitus synchronous with heartbeat in cervicofacial emphysema involving mediastinum

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25
Q

crepitus synchronous with heartbeat – name and condition

A

hamman’s crunch, cervicofacial emphysema

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26
Q

TUGSE without trauma: histo variants

A

sheets of large atypical cells

histiocutes (atypical histiocytic granuloma) or T lymphocyes (oral CD30+ lymphoproliferative disorder)

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27
Q

major complication in electrical burn

A

contracture of mouth opening during healing

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28
Q

chemical injuries agents

A

aspirin, hydrogen peroxide, silver nitrate, phenol, endo materials

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29
Q

chemical injuries histo

A

coagulative necrosis

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30
Q

phase of cell cycle most susceptible to radiation

A

M phase

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31
Q

phase of cell cycle least susceptible to radiation

A

S phase

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32
Q

cytoreductive therapy purpose

A

therapy to debulk or reduce the size of a cancerous tumor

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33
Q

chemotherapy injury presentation

A

mucositis and hemorrhage 2/2 thrombocytopenia due to bone marrow suppression

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34
Q

radiation therapy injury presentation

A

mucositis and dermatitis

xerostomia, hypogeusia, ORN, trsmis, tooth anomalies

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35
Q

radiation caries where

A

cervical part of tooth

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36
Q

bisphosphonate-associated osteonecrosis which drugs

A

2nd gen, 12y half life

95% of cases pamidronate and zoledronic acid (IV formulation) for cancer (multiple myeloma)

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37
Q

bisphosphonates used for

A

pagets, osteoporosis, bone cancers

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38
Q

possible serum marker for BRONJ

A

c-telopeptide (CTX)

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39
Q

antiresorptive agent infuced ONJ which drigs

A

denosumab and cathepsin K inhibitors (for osteoporosis) following surgery

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40
Q

IV bisphosphonates

A

pamidronate, zoledronic acid

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41
Q

meth effect on dentition and why

A

rampant caries similar to milk-bottle caries 2/2 xerostomia and heavy intake of sugary drinks

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42
Q

anesthetic necrosis location

A

most on hard palate

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43
Q

persistent scaling/flaking of vermilion border of lips

A

exfoliative cheilitis

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44
Q

causes of exfoliative cheilitis

A

contact dermatitis, allergic contact stomatitis, atopic eczema

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45
Q

candidiasis of lips in areas of low grade trauma

A

cheilocandidiassis

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46
Q

crusting and erythema of skin surface adjacent to lips

A

circumoral dermatitis

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47
Q

submucosal hemorrhage by size

A

petecchiae (minute), purpura (larger), ecchymosis (>2cm(, hematoma (mass, blunt traums)

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48
Q

nontraumatic submucosal hemorrhage causes

A

blood dyscrasias, infections (measles, mono), meds

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49
Q

FOM hemorrhage causes

A

implant placement, sever HTN, coagulopathy

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50
Q

anthral hematoma cause

A

intranasal hemorrhage

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51
Q

most common oral change with fellatio

A

palatal hemorrhage with negative pressure

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52
Q

ulceration/fibrosis of lingual frenum ask about what?

A

sexual practices: cunnilingus

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53
Q

localized exogenous pigmentations

A

amalgam tattoo

graphite implantation

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54
Q

graphite implantation histo

A

birefringent after tx with ammonium sulfude

doesn’t stain reticulin fibers

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55
Q

forked tongue body mod

A

anterior 1/3 of tongue is split

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56
Q

susuk what is

A

charm needles/pins, seen on xray

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57
Q

barbell bs labret

A

barbell two balls – usually tongue

labret one flat end – lip piercing usually

58
Q

most common complications of piercings

A

gingival recession and tooth ffracture

59
Q

common source of lead for children

A

water, paint – plumbism

60
Q

chronic silver intox name

A

generalized argyria – eg from silver nitrate chronically used for aphthaem denture sores, gingival hemorrhage

61
Q

lead poisoning manifests in mouth

A

ulcerative stomatitis, Burton’s line, tongue tremor, perio dz, silaorrhea, discoloration, metallic taste

62
Q

burton’s line what is and why

A

gingival blue line
lead poisoning
action of bacterial HS on lead

63
Q

mercury posioning manifests in mouth

A

metallic taste, ulcerative stomatitis, discoloration, tooth exfoliation, enlargement of salivary glands, gingiva and tongue

64
Q

acrodynia aka

A

swift dz, pink dz

chroni mercury intoxication

65
Q

names for chronic mercury intoxication

A

swift dz, pink dz, acrodynia

66
Q

acrodynia manifestations extraoral

A

cold hands, feet, nose, ears, irritability

pruritic rasj, severe sweating, excessive slaivation

67
Q

bismuth in mouth

A

black hairy tongue

no elongated papilla

68
Q

black hairy tongue cause

69
Q

blue-gray skin, burton’s line – consider what other than lead

A

silver and bismuth also

70
Q

palmar plantar keratosis which metal poisoning

71
Q

arsenic extraoral manifestation

A

palmar plantar keratosis

72
Q

which metal can cause premalignant skin lesions

A

arsenical keratosis

73
Q

gold poisoning manifestations of interest

A 
dermatitis preceded by pruritus
oral mucositis (allergic reaction)
74
Q

chryasis what is

A

blue discoloration of sun exposed skin after gold therapy

75
Q

blue discoloration of skin after gold therapy

76
Q

smoker’s melanosis where and why

A

melanin is protective against smoke substance

most in anterior gingiva

77
Q

drug related discolorations of oral mucosa why

A

melanocyte induction or deposition of drig metabolites

78
Q

phenolphthalein what kind and what manifestations

A

laxative

numerous small well demarcated skin lesions (also oral)

79
Q

minocycline manifestations

A

bone (band above attached gingiva and hard palate) and teeth

80
Q

tranquilizers and antimalarials manifestations

A

blue black discoloration limited to hard palate

81
Q

estrogen, AIDS drigs manifestations

A

diffuse brown melanosis, gingiva and buccal mucosa

82
Q

diffuse brown melanosis, mostly gingiva and buccal mucosa – which drugs

A

estrogen, AIDS meds

83
Q

blue black discoloration of hard palate which drugs

A

tranquilizers, antimalarials, imatinib i guess

84
Q

reactive osseous and chondromatous metaplasia aka and where

A

Cutright lesion
true cutrigh in post mand alveolar ridge
rarely MX or ant MD

also due to trauma from denture (usually knife edge like crest)

85
Q

what can cause oral ulceration with bone sequestration

where usually?

A

previous trauma or aphthae that cause osteitis and necrosis

usually lingual surface of posterior mandible or exostosis

86
Q

dome shaped radiopacity of sinus floor – what is and why happens

A

dome shaped radiopacity of sinus floor
accumulation of serum below sinus lining
2/2 odontogenic infection or allergy
dome shaped mass (no bone erosion)

87
Q

accumulation of mucin in sinus what is and how manifests

A

sinus mucocele

portion of sinus is separated from main body

88
Q

types of sinus mucoceles

A

surgical ciliated cyst )after surgery, usually Caldwell-Luc or 3rd molar)
or sinus ostium blockage

89
Q

retention cyst – why, what is

A

partial blockage of gland duct or invagination of respiratory epithelium
mucin surrounded by epithelium, 2ithout extravasation
most associated with polyps and not evident clinically

90
Q

sinus mucocele lined by

A

true epithelium

91
Q

introductino of air into subcutaneous or facial spaces

A

cervicofacial emphysema

92
Q

causes of cervicefacial emphysema

A

compressed air, difficult extractions, intra-oral pressure, idiopathis

93
Q

cervicofacial emphysema vs angioedema

A

crepitus (carcking) on palpation in emphysema

94
Q

pneumoparotid manifest

A

air insife parotid

saliva is frothy and air filled, instead of waterlike

95
Q

how soon does cervicofacial emphysema develop

A

90% during surgery or within 1 hour

delayed onset – induced by patient

96
Q

hamman’s crunch what is

A

crepitus synchronous with heartbeat

emphysema with mediastinal involvement (pneumomediastinum)

97
Q

crepitus synchronous with heartbeat

A

hamman’s crunch

emphysema with mediastinal involvement (pneumomediastinum)

98
Q

pneumomediastinum sign

A

hamman’s crunch

crepitus synchronous with heartbeat

99
Q

myospherulosis what is

A

form of lipogranuloma

placement of Abx (tetracycline) in a petrolatum base into surgery site

100
Q

placement of Abx (tetracycline) in a petrolatum base into surgery site

A

myospherulosis

101
Q

oral myospherulosis where

A

exo site to prevent alveolar osteitis, mostly md

102
Q

myospherulosis histo

A

cyst-like spaces with numerous brown to black spherules – RBCs altered by medication

103
Q

danger of myospherulosis in sinus

A

can become contaminated by fungus (zygomycetes and aspergillus)

104
Q

bag of marbles myospherulosis

A

spherules surrounded by outer/parent body membrane

105
Q

spherules surrounded by outer/parent body membrane

A

bag of marbles myospherulosis

106
Q

infantile variant of TUGSE

A

riga fede - sublingual, 2/2 neonatal teeth

107
Q

hemepath poss associated with TUGSE

A

primary cutaneous CD30+ lymphoproliferative disorder

108
Q

define osteoradionecrosis

A

exposed irradiated nonvital bone >3m in the absence of neoplastic disease

109
Q

how soon after radiation would osteoradionecrosis happen

A

most between 4m and 3 yrs

110
Q

dose for osteoradionecrosis

111
Q

location for osteoradionecrosis

A

md 24x more

112
Q

half life of bisphosphonates

113
Q

affinity for bisphosph in bone ccells

A

clasts 8x > blasts 4x > cytes

114
Q

insects crawling name and drug

A

parasitosis (formication) – meth

115
Q

nasal collapse which drug and name

A

Cocaine induced midline destructive lesion

116
Q

secindary cadida with low grade trauma to vermilion

A

cheilocandidiasis

117
Q

lead poisoning aka

118
Q

bluish line along gingival margins metal

A 
burton line (lead)
also with silver
119
Q

erethism

A

neuro symptoms with mercury poisoning (mad hatter)

120
Q

neuro symptoms with mercury poisoning

121
Q

chronic mercury exposure in children aka

A

acrodynia, pink disease, swift-feer disease

122
Q

argyria

A

silver intoxication, blue line along gingival margin

123
Q

silver intoxication

124
Q

localized argyria aka

A

amalgam tattoo

125
Q

gangrene in arsenic

A

blackfoot disease

126
Q

blackfoot disease

A

gangrene with arsenic

127
Q

gold toxicity

A

pruritus and dermatitis

128
Q

lead poisoning signs

A 
abd pain
encephalopathy
Renal dysfunction
Fatigue/irritability
Anemia
Kidney/bone/joints

burton line
plumbiam

129
Q 
abd pain
encephalopathy
Renal dysfunction
Fatigue/irritability
Anemia
Kidney/bone/joints

which poisoning

A

lead poisoning

130
Q

mercury poisoning signs

A 
Abd.Pain
Vomiting / diarrhea
HBP
Neuro
Desquamative
fingers/soles

ACRODYNIA
ERETHISM

131
Q 
Abd.Pain
Vomiting / diarrhea
HBP
Neuro
Desquamative
fingers/soles

which poisoning

A

mercury poisoning

132
Q

silver poisoning signs

A

Pleural edema
Hemolysis
BM failure
Liver/kidney/lung

ARGYRIA

133
Q

Pleural edema
Hemolysis
BM failure
Liver/kidney/lung

which poisoning

A

silver poisoning

134
Q

arsenic poisoning signs

A 
Gangrene
Amputation
Hyperpigmentation of
neck/armpits
Hyperkeratosis

MEES LINES
BLACK FOOT DISEASE

135
Q

MEES LINES

136
Q 
Gangrene
Amputation
Hyperpigmentation of
neck/armpits
Hyperkeratosis

which poisoning

137
Q

methemoglobinemia which metal poisoning

138
Q

gold poisoning

A

Oral mucositis
Dermatitis
Pruritis

CHRYSIASIS

139
Q

Oral mucositis
Dermatitis
Pruritis

which metal poisoning

140
Q

cutright lesion

A

Reactive osseous and chondromatosis metaplasia. Flabby tissue on alveolar
ridge due to denture

141
Q

Reactive osseous and chondromatosis metaplasia. Flabby tissue on alveolar
ridge due to denture

A

cutright lesion

OP - Yield (19 decks)

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