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Oral Medicine - My deck > Colors of Oral Pathology Part 1 > Flashcards

Colors of Oral Pathology Part 1 Flashcards

1
Q

True or False: “Normal” color is race and location dependent

A

True

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2
Q

What are some reasons for white intraoral leisons?

A

Thickened epithelial covering, decreased vascularity, increased collagen

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3
Q

What are some reasons for red intraoral lesions?

A

Thinner epithelium, increased vascularity, or a dissolution of the collagen content of the subepithelial tissue

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4
Q

What are some reasons for blue intraoral lesions?

A

Venous blood collection, tyndall effect, medications

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5
Q

What are some reasons for black intraoral lesions?

A

Melanin from melanocytes, heavy metals

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6
Q

What are some reasons for brown intraoral lesions?

A

Melanin, hemosiderin (breakdown of Hemoglobin in phagocytes)

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7
Q

What are some reasons for yellow intraoral lesions?

A

Adipose tissue, sebaceous material, pus

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8
Q

What are the most common abnormal colors found in the oral cavity from most common to least common?

A 
White
Red
Black
Blue
Yellow
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9
Q

What is the first thing to do with a white lesion?

A

Try to wipe it off

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10
Q

What are some white lesions that can be rubbed off?

A 
Materia alba
White coated tongue
Burn
Allergy
Pseudomembranous candidiasis
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11
Q

What are some white lesions that cannot be wiped off?

A 
Leukoplakia
Morsicatio buccarum/linguarum/labiarum
Tobacco pouch keratosis
Verrucous carcinoma
Lichen planus
Nicotine stomatitis
Oral hairy leukoplakia
Linea alba
Leukoedema
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12
Q

What is the “go to” treatment for lichen planus?

A

Clobetasol proprionate 0.05% gel aka Temovate

Disp: 15 or 30 gram tube
Sig: Dry the affected area and gently apply a thin amount bid-tid

High potency

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13
Q

What is another treatment for lichen planus, if the patient has the lesion everywhere in their mouth?

A

Dexamethosone elixir 0.5 mg/5 ml aka Decadron

Disp: 12-16 oz
Sig: rinse with 1 tsp. for 2 minutes bid-qid and expectorate

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14
Q

What is another gel of moderate potency that can be used for lichen planus?

A

Fluocinonide 0.05% gel aka Lidex

Disp: 15 or 30 grams
Sig: Dry the affected area and gently apply a thing amount tid-qid

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15
Q

What can be used to treat recurrent aphthous ulcers?

A

Aphthasol, Dexamethosone, Temovate, Lidex

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16
Q

What can be used to treat ulcers that do not go away or TUGSE?

A

Kenalog 10 –> 1 ml/cm of tissue

Kenalog 40 –> .25 ml/cm of tissue

17
Q

What are some things that cause desquamative gingivitis?

A 
Lichen planus
Mucous membrane pemphigoid
Pemphigus vulgaris
Systemic lupus erythematosis
Hypersensitivity
18
Q

What is the treatment for desquamative gingivitis?

A

Biopsy for confirmation, topical steroids

19
Q

What are some common red and white lesions?

A 
Ulcers (traumatic, aphthous, viral)
Geographic tongue
Desquamative gingivitis
Actinic keratosis
Erythroleukoplakia

Oral Medicine - My deck (7 decks)

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