Colors of Oral Pathology Part 2

Question 1

What are the different forms of candidiasis?

Answer 1

Pseudomembranous candidiasis

Erythematous candidiasis

Question 2

What are the different types of erythematous candidiasis?

Answer 2

• Central papillary atrophy of the tongue aka median rhomboid glossitis
• Angular cheilitis
• Denture stomatitis
• Chronic multifocal candidiasis

Question 3

What is the treatment for angular cheilitis/perleche?

Answer 3

Mycolog II

Triamcinolone 0.1% + Nystatin 100,00 units/gram ointment

Disp: 15 gram tube
Sig: Apply tid until healing occurs
Refills: 1

Question 4

What is the rinse treatment for candidiasis?

Answer 4

Mycostatin

Nystatin oral suspension (100,000 units/ml)

Disp: 240 ml
Sig: Rinse with 1-2 tsp for 2 minutes and expectorate (swallow if affecting soft pharynx)
Refills: 1?

Question 5

What is the troche treatment for candidiasis?

Answer 5

Mycelex

Clotrimazole troche 10 mg
Disp: 50
Sig: One troche five times a day, place on tongue and let dissolve in mouth

Refills: 0

Question 6

What term describes a benign proliferation of blood vessels? What is the treatment?

Answer 6

Hemangioma

Surgery, laser, observation

Question 7

What is the treatment for a hypersensitivity reaction?

Answer 7

D/C whatever is causing and treat with an anti-inflammatory

Question 8

Where are erythroplakias most commonly found?

Answer 8

Floor of mouth, tongue, soft palate

Question 9

What are some common red lesions?

Answer 9

Erythematous candidiasis
Angular cheilitis
Lingual tonsil/Lymphoid hyperplasia
Hemangioma
Hypersensitivity reaction
Erythroplakia

Question 10

What are the most common locations of an oral melanotic macule?

Answer 10

Lower lip, buccal mucosa, gingiva

Question 11

What syndrome describes freckling around the lips?

Answer 11

Peutz-jegher’s syndrome aka

Question 12

What are some other brown lesions?

Answer 12

Intramucosal nevus
Oral melanoacanthoma
Melanoma

Question 13

What are the ABCDEs of melanoma?

Answer 13

A: Asymmetry/Patchy
B: Border irregularity
C: Color
D: Diameter greater than 5 mm
E: Evolution of the lesion

Question 14

What are some differentials for a blue lesions?

Answer 14

Mucocele
Blue nevus
Venous blood/Sublingual varices
Amalgam tattoo
Ranula (large mucocele in the floor of mouth -- usually sublingual gland)
Salivary duct cyst
Mucoepidermoid carcinoma (in retromolar pad)
Hemangioma

Question 15

What are some differentials for a yellow lesion?

Answer 15

Parulis (pus)
Lipoma
Fordyce granules
Granular cell tumor
Lymphoepithelial cyst