Colors! Flashcards
White lesions that DON’T rub off?
LT. NOLL: Linea alba, Tobacco pouch keratosis, Nicotine stomatitis, Oral hairy leukoplakia, Leukoedema, Lichen planus
What can you prescribe for lichen planus?
Clobetasol 0.05% gel bid-tid, Dexamethasone elixir 0.5mg/5ml rinse for 2 min bid-tid, Fluocinonide (lidex) 0.05% gel tid-qid
What are some white and red lesions?
U-PAGED: Ulcers (traumatic, aphthous, viral), Pseudomembranous candidiasis, Actinic keratosis, Geographic tongue, Erythroleukoplakia, Desquamative gingivitis
What can be done to treat RAUs?
Aphthasol, Dexamethasone, Temovate, Lidex, Canker Cover, etc
What can the dx be if topical steroids don’t work?
TUGSE
What should you try next if topical steroids don’t work on the ulcer?
Intra-lesional injection of Kenalog 10 (10mg/ml), which is used as 10 mg per cm of lesion
What is your differential for desquamative gingivitis?
lichen planus, mucous membrane pemphigoid, pemphigus vulgaris, systemic lupus erythematosis, hypersensitivity
How do you treat desquamative gingivitis?
Biopsy for confirmation and prescribe topical steroids
What pathologies can be red in color?
HE HEAL: Hemangioma, Erythematous Candidiasis, Hypersensitivity rxn, Erythroplakia, Angular cheilitis, Lingual Tonsil
Erythematous candidiasis can present in what three ways? (hint: three pathologies)
Median rhomboid glossitis, Angular cheilitis, or Denture stomatitis
What antifungals can you prescribe for angular cheilitis?
Mycolog II ointment tid (mix of nystatin 100k and triamcinolone 0.1%), Nystatin oral suspension rinse, Clotrimazole troche 10mg 5x/day
Which of these blanches under pressure? Hematoma/hemangioma/petechiae
hemangioma (benign proliferation of blood vessels)
Define erythroplakia
intraoral red patch that cannot be clinically diagnosed as any other condition
Most common locations for erythroplakia?
FOM, tongue, soft palate
90% of erythroplakias are histologically diagnosed as… ___________, __________, ___________.
severe dysplasia, carcinoma-in-situ, or squamous cell carcinoma
Common places to find oral melanotic macules?
Lower lip > buccal mucosa > gingiva
Acquired pigmentation, seen almost exclusively in African Americans, and mostly on buccal mucosa is what?
oral melanoacanthoma
How to treat oral melanoacanthoma?
incisional biopsy to rule out melanoma, but no further tx necessary
What are some pigmented/brown colored lesions?
racial pigmentation, oral melanotic macule, intramucosal nevus, oral melanoacanthoma
What are blue lesions that can be seen in the mouth?
Melanoma, Hemangioma, Mucocele/Ranula, Salivary duct cyst, Mucoepidermoid carcinoma, Blue nevus, Varicosities
What are some yellow lesions seen in the mouth?
fordyce granules, lipoma, parulis, granular cell tumor
What are some therapies for xerostomia?
Biotene products, Mouth Kote, sipping water, suck on ice, humidifier at night, lubricate lips, and fluoride supplementation
What are some prescriptions for xerostomia?
Pilocarpine 5 mg tabs (tid for three months and increase until max dose reached),
