Appendix 1- pictures: colors of oral path Flashcards
normal color
excessively WHITE lesions are secondary to what 3 things
- A thickening of the epithelial covering: Hyperkeratosis, Acanthosis, Dysplasia, Carcinoma.
- An decreased vascularity: Anemia
- An increased collagen content of the subepithelial tissue: Submucous Fibrosis
Excessively RED lesions are secondary to what 3 tings
- A thinning of the epithelial covering.
- An increased vascularity
- A dissolution of the collagen content of the subepithelial tissue.
excessively BLUE lesions are secondary to
Venous blood collection as opposed to the red of arterial blood collection.
excessively BLACK lesions are secondary to what 2 tings
1) melanin
2) heavy metals: amalgam, iron, bismuth
excessively BROWN lesions are secondary to
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
Excessively YELLOW lesions are secondary to what 3 things
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.
most common colors found abnormally in the oral cavity
Most Common: WHITE
2nd Most Common: RED
3rd Most Common: BLACK
4th Most Common: BLUE
5th Most Common: YELLOW
- Materia Alba
- White coated tongue
- Burn (thermal, chemical, cotton roll, etc.)
- Toothpaste or mouthwash overdose
- Pseudomembranous candidiasis
leukoplakia
tx: bx
name it and treat it
materia alba (soft tissue plaque/calculus)
tx: proper oral hygiene
name it and treat it
white coated tongue
tx: tongue scraping/brushing
5 white lesions that CAN be scraped, rubbed, or pulled off
1) Materia Alba
2) White coated tongue
3) Burn (thermal, chemical, cotton roll, etc.)
4) Toothpaste or mouthwash overdose
5) Pseudomembranous candidiasis
name it and treat it
Aspirin burn
Tx: discontinuance of A.S.A. application.
name it and treat it
Aspirin burn
Tx: discontinuance of A.S.A. application.
name it
pizza burn
cotton role burn
name/treat
pseudomembranous candidiasis
tx: antifungals
name/treat
pseudomembranous candidiasis/trush
tx: antifungals
name/treat
pseudomembranous candidiasis - burning itching mouth
tx: antifungals
name/treat
pseudomembranous candidiasis on top of AML
tx: antifungals
dx histo for…
Candidiasis
hyphae @ 90 degrees
other ways to dx candidiasis: Culture- sabouraud’s media, Cytology smear, bx
8 WHITE plaques that do NOT rub off and their Tx’s
- LEUKOPLAKIA: Biopsy
- LINEA ALBA: None
- LEUKOEDEMA: None
- CHRONIC CHEEK CHEWING: Bite guard
- NICOTINE STOMATITIS: D/C 6.ORAL HAIRY LEUKOPLAKIA: Treat AIDS
- TOBACCO POUCH KERATOSIS: D/C
- LICHEN PLANUS: Steroids
name it and tx
Leukoplakia - hyperkeratosis
tx: bx
name/tx
leukoplakia- dysplasia
tx: bx
name/tx
leukoplakia- carcinoma in situ
tx: bx