Appendix 1- pictures: colors of oral path Flashcards

1
Q
A

normal color

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2
Q

excessively WHITE lesions are secondary to what 3 things

A
  • A thickening of the epithelial covering: Hyperkeratosis, Acanthosis, Dysplasia, Carcinoma.
  • An decreased vascularity: Anemia
  • An increased collagen content of the subepithelial tissue: Submucous Fibrosis
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3
Q

Excessively RED lesions are secondary to what 3 tings

A
  • A thinning of the epithelial covering.
  • An increased vascularity
  • A dissolution of the collagen content of the subepithelial tissue.
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4
Q

excessively BLUE lesions are secondary to

A

Venous blood collection as opposed to the red of arterial blood collection.

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5
Q

excessively BLACK lesions are secondary to what 2 tings

A

1) melanin
2) heavy metals: amalgam, iron, bismuth

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6
Q

excessively BROWN lesions are secondary to

A

Hemosiderin: a yellowish brown granular pigment formed by breakdown of hemoglobin, found in phagocytes and in tissues especially in disturbances of iron metabolism (hemochromatosis, hemosiderosis) and composed essentially of colloidal ferric oxide

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7
Q

Excessively YELLOW lesions are secondary to what 3 things

A

Adipose tissue as noted in the soft palate with submucosal fat or in a lipoma.

Sebaceous material (skin oil) as noted in Fordyce granules.

Pus as it is a collection of necrotic material, PMNs, and lymphocytes.

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8
Q

most common colors found abnormally in the oral cavity

A

Most Common: WHITE

2nd Most Common: RED

3rd Most Common: BLACK

4th Most Common: BLUE

5th Most Common: YELLOW

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9
Q
A
  1. Materia Alba
  2. White coated tongue
  3. Burn (thermal, chemical, cotton roll, etc.)
  4. Toothpaste or mouthwash overdose
  5. Pseudomembranous candidiasis
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10
Q
A

leukoplakia

tx: bx

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11
Q

name it and treat it

A

materia alba (soft tissue plaque/calculus)

tx: proper oral hygiene

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12
Q

name it and treat it

A

white coated tongue

tx: tongue scraping/brushing

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13
Q

5 white lesions that CAN be scraped, rubbed, or pulled off

A

1) Materia Alba
2) White coated tongue
3) Burn (thermal, chemical, cotton roll, etc.)
4) Toothpaste or mouthwash overdose
5) Pseudomembranous candidiasis

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14
Q

name it and treat it

A

Aspirin burn

Tx: discontinuance of A.S.A. application.

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15
Q

name it and treat it

A

Aspirin burn

Tx: discontinuance of A.S.A. application.

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16
Q

name it

A

pizza burn

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17
Q
A

cotton role burn

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18
Q

name/treat

A

pseudomembranous candidiasis

tx: antifungals

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19
Q

name/treat

A

pseudomembranous candidiasis/trush

tx: antifungals

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20
Q

name/treat

A

pseudomembranous candidiasis - burning itching mouth

tx: antifungals

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21
Q

name/treat

A

pseudomembranous candidiasis on top of AML

tx: antifungals

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22
Q

dx histo for…

A

Candidiasis

hyphae @ 90 degrees

other ways to dx candidiasis: Culture- sabouraud’s media, Cytology smear, bx

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23
Q

8 WHITE plaques that do NOT rub off and their Tx’s

A
  1. LEUKOPLAKIA: Biopsy
  2. LINEA ALBA: None
  3. LEUKOEDEMA: None
  4. CHRONIC CHEEK CHEWING: Bite guard
  5. NICOTINE STOMATITIS: D/C 6.ORAL HAIRY LEUKOPLAKIA: Treat AIDS
  6. TOBACCO POUCH KERATOSIS: D/C
  7. LICHEN PLANUS: Steroids
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24
Q

name it and tx

A

Leukoplakia - hyperkeratosis

tx: bx

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25
Q

name/tx

A

leukoplakia- dysplasia

tx: bx

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26
Q

name/tx

A

leukoplakia- carcinoma in situ

tx: bx

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27
Q

name/tx

A

leukoplakia- SCC

tx: bx

28
Q

name/tx

A

linea alba

tx: none

29
Q

name/tx

A

leukoedema

tx: none

30
Q

name/tx

A

leukoedema

tx: none

31
Q

name/tx

A

linea alba + cheek chewing

tx: none

32
Q

name/tx

A

CHRONIC CHEEK BITING

Morsicatio buccarum, labiorum, linguarum

Treatment: none or bite guard

33
Q

name/tx

A

CHRONIC CHEEK BITING

Morsicatio buccarum, labiorum, linguarum

Treatment: none or bite guard

34
Q

name/tx

A

nicotine stomatitis

tx: stop smoking

35
Q

name/tx

A

nicotine stomatitis

tx: stop smoking

36
Q

name/tx

A

ORAL HAIRY LEUKOPLAKIA

Tx underlying AIDS

37
Q

name/tx

A

ORAL HAIRY LEUKOPLAKIA

Tx underlying AIDS

38
Q

name/tx

A

tobacco pouch keratosis

tx: stop dipping

39
Q

name

A

TOBACCO POUCH KERATOSIS can progress to VERRUCOUS CARCINOMA

40
Q

name/tx

A

Lichen planus

tx: systemic steroids

4Ps for skin LP: pruritic, purple, polygonal, papules

41
Q

name/tx

A

Lichen planus

tx: systemic steroids

42
Q

name/tx

A

Lichen planus

tx: systemic steroids
left: reticular
right: erosive

43
Q

name/tx

A

Lichen planus- oral

tx: systemic steroids

44
Q

name/tx

A

Lichen planus

tx: systemic steroids

45
Q

name 5 Red AND White Lesions

A
  1. TRAUMATIC ULCER
  2. PERICORNITIS
  3. ACUTE NECROTIZING ULCERATIVE GINGIVITIS (ANUG)
  4. RECURRENT APHTHOUS ULCERS
  5. GEOGRAPHIC TONGUE
46
Q

name/tx

A

traumatic ulcer

tx: none

47
Q

name/tx

A

Pericoronitis

Tx: none/remove tooth

48
Q

name/tx

A

ANUG

tx: SRP, Abs, OHI

49
Q

name/tx

A

RAU: inflammatory ulcer

Tx: Steroids & Antibiotics

50
Q

name/tx

A

RAU

tx: steroids + Abs

Location + Size + Number = Diagnosis of R.A.U.

51
Q

name/tx

A

Geographic tongue

tx: none

52
Q

name/tx

A

Geographic tongue

tx: none

53
Q

name/tx

A

Geographic tongue

tx: none

54
Q
A
  1. ERYTHEMATOUS CANDIDIASIS
  2. ANGULAR CHEILITIS
  3. LINGUAL TONSIL
  4. HEMANGIOMA
  5. ERYTHROPLAKIA
55
Q
A
  1. White Pseudomembranous
  2. Red Erythematous
  3. Central Papillary Atrophy of tongue
  4. Angular Cheilitis
  5. Denture Stomatitis
  6. Mucocutaneous
56
Q

name/tx

A

Candidiasis

tx: antifungals

57
Q

name/tx

A

ANGULAR CHEILITIS

Treatment: antifungals, increase the vertical dimension

58
Q

name/tx

A

ANGULAR CHEILITIS

Treatment: antifungals, increase the vertical dimension

59
Q
A

ANGULAR CHEILITIS

Treatment: antifungals, increase the vertical dimension

60
Q
A

LINGUAL TONSIL: Lymphoid Hyperplasia: Reactive Lymphoid Aggregate

Treatment: none

61
Q
A

HEMANGIOMA

Treatment - surgery, laser, embolization

62
Q
A

HEMANGIOMA- Sturge Weber

Treatment - surgery, laser, embolization

63
Q
A

hemangioma

64
Q
A

erythroplakia

tx: excision

65
Q
A
  1. RACIAL PIGMENTATION
  2. AMALGAM TATTOO
  3. ORAL MELANOTIC MACULE
  4. NEVUS
  5. MELANOMA
  6. BLACK HAIRY TONGUE