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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
Q

PGCG histo

A

strat squamous epithelium lining
conn tissue with multi nuc giant cells and RBCs
duct-like spaces present butn not mentioned?

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26
Q

Human Papilloma Virus potential dx’s?

A
  • Squamous papilloma
  • Verruca vulgaris
  • Condyloma acuminatum
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27
Q

Squamous Papilloma
* #/ demo?
* app?

A
  • Solitary lesion in adult (can be more than 1)
  • Pedunculated, exophytic papule
  • Numerous surface projections
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28
Q

dif

A

squamous papilloma
verruca vulgaris

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29
Q

dif

A

squamous papilloma
verruca vulgaris

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30
Q

Verruca Vulgaris
* where on body? age group?
* common presentation?
* oral mucosa?

A

very contagious spread
* Skin of hands in children
* Multiple, clustered lesions common
* White, verrucoid surface
* Autoinoculation of oral mucosa

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31
Q
A

Verruca Vulgaris

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32
Q

high risk HPVs

A

16 and 18

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33
Q

what lesions could look this way?

A

any HPV lesion

34
Q

Condyloma Acuminatum
* transmission?
* common app?
* Low risk sub-types?
* High-risk sub-types?

A
  • 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
Q

Virulence and Infectivity of Human
Papilloma Virus

36
Q

Primary Herpetic Gingivostomatitis
*when?
* Generally occurs when?
* severity? why?

A
  • 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
Q

PRIMARY HERPES SIMPLEX INFECTION

A

Primary Herpetic Gingivostomatitis

38
Q

Primary Herpetic Gingivostomatitis
* illness?
* Cervical sign?

A
  • Flu-like illness with fever, malaise, arthralgia, headache
  • Cervical lymphadenopathy
39
Q
A

primary herptic gingivostomatitis

40
Q
A

primary herpetic gingivostomatitis

41
Q

where can HSV become dormant for secondary infection(s)

A

trigeminal ganglion

42
Q

what is this likely?

A

recurrent herpes labialis

43
Q
A

recurrent herepes labilalis

44
Q

recurrent herpetic infection intraoral presentation

A

blisters/ulceration will occur on keratinized, non-moveable tissue

45
Q

herpes blister structure

46
Q

tzanck cells

A

virally infected dying cells with HSV infection

47
Q

from an errosion located on the palate, what could this be? how could you tell?

A

recurrent HSV, atypical epithelial cells and tzanck cells would be noted

48
Q

RECURRENT APHTHOUS STOMATITIS stages

49
Q

Clinical Forms of Recurrent
Aphthous Stomatitis

A

minor
major
herpetiform

50
Q

where do recurrent aphthous stomatitis lesions occur?

A

non-keratinized, moveable tissue

51
Q

most likely?

A

Minor Recurrent Aphthous Stomatitis

52
Q

most likely?

A

Major Recurrent Aphthous Stomatitis

53
Q

most likely?

A

Herpetiform Recurrent Aphthous Stomatitis

54
Q

durations and sizes of the dif forms of recurrent aphthous stomatitis

A
  • Minor: small, resolve 10-14d
  • Major: large, can last months
  • Herpetiform: many small in clusters, 10-14d with frequent recurrence
55
Q

Aphthous-like Lesions
Associated Systemic Diseases

A
  • 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
Q

candidasis

A

C. Albicans part of normal flora, result of dysbiosis
can be coinfection with staph as well

57
Q

wiped off with red base, form of candidasis?

A

pseudomembraneous

58
Q

forms candidasis

A

pseudomembraneous
atrophic
hyperplastic
angular chelitis
CENTRAL PAPILLARY ATROPHY/ MEDIAN RHOMBOID GLOSSITIS

59
Q

likely form candidasis

A

atrophic/ erthymatous

60
Q

angular chelitis

A

occurs at corners due to loss of OVD,

61
Q

hyperplastic candidasis app

A

leukoplakia on the buccal mucosa, biopsy would reveal C. Alb

62
Q

CENTRAL PAPILLARY ATROPHY
MEDIAN RHOMBOID GLOSSITIS

A

form of candidasis, occurs on dorsum of tongue

63
Q
A

CENTRAL PAPILLARY ATROPHY
MEDIAN RHOMBOID GLOSSITIS

64
Q

pt states they wear dentures almost 24/7 what could this be?

A

atrophic candidasis

65
Q

MUCOCELE

A

due to mucus accum in salivary gland ducts
presents as an soft tissue mass

66
Q

ranula

A

mucocele at the SM gland

67
Q

soft palpation, what could this be?

68
Q

Types of Gingivitis

A
  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
Q

describe

A

gingivitis, diffuse erythema
possible ulcer on attached mucosa=recurrent HSV

70
Q

NUG presentation

A

interdental papilla punched out/necrosed

71
Q

Periodontitis as a Manifestation of Systemic Disease

A
  • Diabetes mellitus
  • HIV infection
  • Decreased numbers of leukocytes– Neutropenia
  • Leukocyte dysfunction syndromes
  • Papillon-Lefevre Syndrome
72
Q

PERICORONITIS

most common where?

A

most common at 3rd molars due to excess tissue= nidus for debris allowing inflam

73
Q

FOLIATE PAPILLAE AND LINGUAL TONSILS

A

often mistaken for pathology

74
Q
A

FOLIATE PAPILLAE AND LINGUAL TONSILS

75
Q

ORAL LYMPHOEPITHELIAL CYST histo

A

lymphoid proliferation in the conn tissue wall with a strat sqaumous cyst lining

76
Q

ORAL LYMPHOEPITHELIAL CYST app

A

may be a yellowish submuscosal bulge

77
Q

fissured tongues

A

not pathologic, maintenence req to keep healthy

78
Q

Hairy Tongue
* what is this?
* Exogenous pigmentation?
* associated factors?

A
  • Elongated filliform papillae
  • Exogenous pigmentation may impart a brown or black appearance
  • Various associated factors
    – Heavy smoking
    – Antibiotic therapy
79
Q
A

hairy tongue

80
Q

what is likely here?

A

hairy tongue

81
Q

Fordyce Granules

A
  • Ectopic sebaceous glands, yellowish submucosal papules
  • Development stimulated at puberty
  • often bilateral
  • not pathologic, no bioipsy needed
82
Q

most likley?

A

fordyce granules

PATH II (32 decks)

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