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common oral dx day 2 Flashcards

1
Q

pyogenic granuloma lesion type

A
  • A reactive vascular lesion - essentially a capillary hemangioma
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2
Q

pyogenic granuloma gender

A

Definite female predilection - vascular effects of hormones

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3
Q

pyogenic granuloma misnomer

A

Name is a misnomer. It is unrelated to infection. It is not
“pyogenic” and is not a true granuloma

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4
Q

pyogenic granuloma growth

A

may be rapid

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5
Q

where can pyogenic granulomas occur? most common site?

A

Gingiva most common site, but not limited to gingiva. It
occurs throughout the body on any skin or mucosal
surface

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6
Q

dif dx?

A

pyogenic grnauloma
PERIPHERAL OSSIFYING FIBROMA
PERIPHERAL GIANT CELL GRANULOMA

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7
Q

pyogenic granuloma histo

A

surface stratified squamous epithelium overlying a proliferation of endothelial lined channels mixed with acute and chronic inflammatory cells

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8
Q

pyogenic granuloma base?

A

sessile or pedunculated

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9
Q

pyogenic granuloma app

A

nodule located on the gingiva, can be lobulated, erthymatous/ mucosal colored
sessile/pedunculated

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10
Q

pyogenic granuloma effect on teeth?

A

can displace them

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11
Q

biopsy displayed endothelial hyperplasia along with A/C inflammatory cells within a strat squamous epithelium

A

pyogenic granuloma

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12
Q

Granuloma gravidarum

A

Pregnancy Tumor
* A clinical variant of pyogenic granuloma
* May involute without treatment post partum and undergo fibrous maturation

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13
Q

Peripheral Ossifying Fibroma
* lesion type
* demo age
* Not related to?
* Occurs exclusively where?
* histo?
* recurrence?
* effects on teeth?

A
  • Reactive lesion – not a neoplasm
  • Teenagers and young adults
  • Not related to central ossifying fibroma
  • Occurs exclusively on the gingiva
  • Fibrous hyperplasia with osseous metaplasia - may
    appear radio-opaque
  • May recur
  • May move teeth
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14
Q

peripheral oss fibroma app

A

nodule on the gingiva, usually mucosal colored and sessile
capable of displacing teeth

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15
Q

dif

A

pyogenic granuloma
peripheral oss. fibroma
peripheral GCG

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16
Q

biopsy from a gingival nodule of 17 y/o, what could this be?

A

Peripheral oss. fibroma, fibrous hyperplasia along with osseous metaplasia

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17
Q

biopsy of a removed nodule from btwn two teeth, what is this?

A

peripheral oss fibroma

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18
Q

pano with a nodule on the gingiva, what could this be?

A

peripheral oss fibroma, calcification in the soft tissue

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19
Q

Peripheral Giant Cell Granuloma
* lesion type?
* age?
* Occurs exclusively where?
* Contains? may app?
* recurrence?

A
  • Reactive lesion – not a neoplasm
  • Older adults
  • Occurs exclusively on gingiva and edentulous alveolar ridge
  • Contains hemosiderin - may be bluish-purple
  • May recur
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20
Q

PGCG app

A

nodule located on the gingiva, can appear colored due to hemosiderin, usually sessile in pictures shown

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21
Q

dif

A

pyogenic granuloma
per. oss. fibroma
PGCG

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22
Q

most likley dx out of the 3 P’s?

A

PGCG, coloration

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23
Q

how could PGCG be evidenced on a radiograph?

A

pressure resorb

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24
Q

biopsy from nodule on the gingiva of a 58 y/o, what is this?

A

PGCG

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25
PGCG histo
strat squamous epithelium lining conn tissue with multi nuc giant cells and RBCs duct-like spaces present butn not mentioned?
26
Human Papilloma Virus potential dx's?
* Squamous papilloma * Verruca vulgaris * Condyloma acuminatum
27
Squamous Papilloma * #/ demo? * app?
* Solitary lesion in adult (can be more than 1) * Pedunculated, exophytic papule * Numerous surface projections
28
dif
squamous papilloma verruca vulgaris
29
dif
squamous papilloma verruca vulgaris
30
Verruca Vulgaris * where on body? age group? * common presentation? * oral mucosa?
very contagious spread * Skin of hands in children * Multiple, clustered lesions common * White, verrucoid surface * Autoinoculation of oral mucosa
31
Verruca Vulgaris
32
high risk HPVs
16 and 18
33
what lesions could look this way?
any HPV lesion
34
Condyloma Acuminatum * transmission? * common app? * Low risk sub-types? * High-risk sub-types?
* Venereal wart - sexually-transmitted disease * Multiple, clustered lesions common * Sessile, pink exophytic mass, larger than squamous papilloma * Low risk sub-types 6 and 11 frequently found (vaccine) * High-risk sub-types 16 and 18 may also be present
35
Virulence and Infectivity of Human Papilloma Virus
36
Primary Herpetic Gingivostomatitis *when? * Generally occurs when? * severity? why?
* Initial exposure to virus in an individual without immunity * Generally occurs at young age after physical contact with infected individual * Mostly subclinical disease - 80% of US population has antibodies to HSV
37
PRIMARY HERPES SIMPLEX INFECTION
Primary Herpetic Gingivostomatitis
38
Primary Herpetic Gingivostomatitis * illness? * Cervical sign?
* Flu-like illness with fever, malaise, arthralgia, headache * Cervical lymphadenopathy
39
primary herptic gingivostomatitis
40
primary herpetic gingivostomatitis
41
where can HSV become dormant for secondary infection(s)
trigeminal ganglion
42
what is this likely?
recurrent herpes labialis
43
recurrent herepes labilalis
44
recurrent herpetic infection intraoral presentation
blisters/ulceration will occur on keratinized, non-moveable tissue
45
herpes blister structure
46
tzanck cells
virally infected dying cells with HSV infection
47
from an errosion located on the palate, what could this be? how could you tell?
recurrent HSV, atypical epithelial cells and tzanck cells would be noted
48
RECURRENT APHTHOUS STOMATITIS stages
49
Clinical Forms of Recurrent Aphthous Stomatitis
minor major herpetiform
50
where do recurrent aphthous stomatitis lesions occur?
non-keratinized, moveable tissue
51
most likely?
Minor Recurrent Aphthous Stomatitis
52
most likely?
Major Recurrent Aphthous Stomatitis
53
most likely?
Herpetiform Recurrent Aphthous Stomatitis
54
durations and sizes of the dif forms of recurrent aphthous stomatitis
* Minor: small, resolve 10-14d * Major: large, can last months * Herpetiform: many small in clusters, 10-14d with frequent recurrence
55
Aphthous-like Lesions Associated Systemic Diseases
* Behcet’s Syndrome * Reiter’s Syndrome (reactive arthritis) * Inflammatory Bowel Disease– Ulcerative colitis/ Crohn’s Disease * Malabsorption Syndromes– Gluten Sensitive Enteropathy * Cyclic Neutropenia * HIV / AIDS
56
candidasis
C. Albicans part of normal flora, result of dysbiosis can be coinfection with staph as well
57
wiped off with red base, form of candidasis?
pseudomembraneous
58
forms candidasis
pseudomembraneous atrophic hyperplastic angular chelitis CENTRAL PAPILLARY ATROPHY/ MEDIAN RHOMBOID GLOSSITIS
59
likely form candidasis
atrophic/ erthymatous
60
angular chelitis
occurs at corners due to loss of OVD,
61
hyperplastic candidasis app
leukoplakia on the buccal mucosa, biopsy would reveal C. Alb
62
CENTRAL PAPILLARY ATROPHY MEDIAN RHOMBOID GLOSSITIS
form of candidasis, occurs on dorsum of tongue
63
CENTRAL PAPILLARY ATROPHY MEDIAN RHOMBOID GLOSSITIS
64
pt states they wear dentures almost 24/7 what could this be?
atrophic candidasis
65
MUCOCELE
due to mucus accum in salivary gland ducts presents as an soft tissue mass
66
ranula
mucocele at the SM gland
67
soft palpation, what could this be?
ranula
68
Types of Gingivitis
1. Plaque-associated gingivitis 2. NUG 3. Medication-induced gingivitis – Drug-related gingival hyperplasia 4. Allergic gingivitis– Plasma cell gingivitis 5. Specific infection-related gingivitis– HSV 6. Dermatosis-related gingivitis– Desquamative gingivitis
69
describe
gingivitis, diffuse erythema possible ulcer on attached mucosa=recurrent HSV
70
NUG presentation
interdental papilla punched out/necrosed
71
Periodontitis as a Manifestation of Systemic Disease
* Diabetes mellitus * HIV infection * Decreased numbers of leukocytes– Neutropenia * Leukocyte dysfunction syndromes * Papillon-Lefevre Syndrome
72
PERICORONITIS | most common where?
most common at 3rd molars due to excess tissue= nidus for debris allowing inflam
73
FOLIATE PAPILLAE AND LINGUAL TONSILS
often mistaken for pathology
74
FOLIATE PAPILLAE AND LINGUAL TONSILS
75
ORAL LYMPHOEPITHELIAL CYST histo
lymphoid proliferation in the conn tissue wall with a strat sqaumous cyst lining
76
ORAL LYMPHOEPITHELIAL CYST app
may be a yellowish submuscosal bulge
77
fissured tongues
not pathologic, maintenence req to keep healthy
78
Hairy Tongue * what is this? * Exogenous pigmentation? * associated factors?
* Elongated filliform papillae * Exogenous pigmentation may impart a brown or black appearance * Various associated factors – Heavy smoking – Antibiotic therapy
79
hairy tongue
80
what is likely here?
hairy tongue
81
Fordyce Granules
* Ectopic sebaceous glands, yellowish submucosal papules * Development stimulated at puberty * often bilateral * not pathologic, no bioipsy needed
82
most likley?
fordyce granules

PATH II (32 decks)

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