Diagnosis and biopsy Flashcards

1
Q

determination of the nature of a disease or any pathologic condition

A

diagnosis

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2
Q

πŸ€” based on logic

♻️ sign & symp are pathog feat

A

Direct Diagnosis

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3
Q

🦷 mainly used for abno of teeth

A

direct diagnosis

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4
Q

πŸ’‹ based on clinical exam (percus palpi physi exam)

A

Working or Tentative diagnosis

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5
Q

presumptive and initial diagnosis

A

Working or tentative diagnosis

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6
Q

β€œthe most likely diagnosis”

A

working or tentative diagnosis

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7
Q

based on all diagnosis tests

A

Definitive or final diagnosis

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8
Q

most reliable exam

A

biopsy or microscopic exam or histo exam

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9
Q

based on the knowledge and experience of the dentist

A

spot or impromptu diagnosis

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10
Q

🧠 comparative diagnosis or diagnosis by elimination

A

differential diagnosis

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11
Q

indications for biopsy

A
πŸš— persistent lesion
πŸš• lesion with hyperkeratosis
🚑 lesion on high risk areas
🚞 suspect malignancy
🚠 boney lesion cnt be ident clinical and rx
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12
Q

high risk areas

A

floor of mouth

tongue (posterolateral border)

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13
Q

types of biopsy

A

πŸ—Ί excisional
πŸ—Ώ incisional
πŸ—½ aspiration
πŸ—Ό punch biopsy

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14
Q

whole thickness is taken using a device

A

punch biopsy

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15
Q

device for punch biopsy

A

trephine

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16
Q

solutions for specimen

A

10% buffered formalin or 70% alcohol

17
Q

amount of solution

A

20x of sepcimen

18
Q

gauge for aspiration

A

18 or 16

19
Q

okc aspirate

A

creamy white or cheese colored

20
Q

indicated for lesions <1cm

A

excisional

21
Q

incision shape and size

A

football or eliptical

2-3mm margin

22
Q

why eliptical

A

for better coaptation

23
Q

anes technique for excisional biopsy

A

nerve block and local infil

24
Q

injection site

A

1mm away from lesion

25
Q

indicated for lesion >1cm and close to vital structures and if you suspect malignancy

A

incisional biopsy

26
Q

narrow and deep incision if used

A

incisional

27
Q

incise at periphery or edge

A

incisional biopsy