Final Review Flashcards
Red area surrounded by white areas on tongue, buccal, floor of mouth, soft palate. geographic tongue on area of mouth, not just on tongue? dx is ?
Migratory mucositis
Migratory mucositis is usually associated with what?
Fissured tongue
Old patient, red/bluish/purple, elevated areas in ventral tongue. What test do you dofirst?
Pressure test
Old patient, red/bluish/purple, elevated areas in ventral tongue. what is it?
Variscosities
Patient with multiple, hard, growths on buccal/lingual, 30 yo, male. dx is
Exostosis
Young, 18 yo, white lesions in mouth, skin rash, concentric target lesions on palm and soles, dx in this case is ?
secondary syphilis
b/c syphilitic roseola and the skin rash, and the secondary lesions are common in syphilis and not in erythema multiforme ….
T/F -(target lesions are in secondary syphilis and erythema multiforme)
True
Asthma patient, using steroids inhaler, red, flat areas, commonly dorsum of tongue and palate. dx is?
atrophic candida
is usually red and flat (with or without white areas). commonly in steroid inhaler patients
uni- or bi-lateral, fissures, ulcerations in corner of mouth. also produced by candida. very few times associated with bacteria. produced by decreased vertical dimension.
angular chelitis
What is the tx of angular chelitis?
tx = antifungal (eg. nystatin).
Very young boy, vesicles (characteristic of viruses), fever, lymphadenopathy, on skin and mucosa. dx is ?
primary herpes simplex
b/c of age and located everywhere.
is unilateral. vesicles, on lip, typical vesicles, inside mouth = on palate or gingiva. on ATTACHED mucosa, NOT movable (movable is canker sore). usually can’t see vesicles in mouth b/c they break easily. group of ulcers on palate or gingiva. side note - herpes virus is DNA virus.
recurrent herpes (two cases, 1 inside the mouth on fixed mucosa and 1 on the lip)
Ulcers, crusts, vesicles, on part of face/mouth, unilateral, not cross midline, painful. dx is ?
herpes zoster (aka recurrent chickenpox)
Young boy, fever, large lymphadenopathy, petechia on palate. What does he have?
mononucleosis
What is the etiology of mononucleosis?
EBV
Male, fever, recurrent infections, candidiasis, herpes, skin lesions, brown spots. dx is ?
HIV/AIDS
Male, fever, recurrent infections, candidiasis, herpes, skin lesions, brown spots. brown spots on skin and mucosa. dx is ?
kaposi sarcoma.
sarcoma = malignant tumor of mesenchymal tissue. kaposi sarcoma is cancer of blood vessels? superficial multiple blood vessel cancer, etiology is AIDS HERPES 8
Osteoporosis patient, exposed bone, gingiva is broken. dx is ?
BON.
Put the patient on antibiotics and clean the area as much as you can NO AGGRESSIVE SURGERY
Brown lesion. take an x-ray, see amalgam. dx is ?
amalgam tattoo.
most common pigmented lesion. don’t actually need to have amalgam restoration since particles are in the mucosa.
Extreme pain on floor of mouth, two small ulcers white surrounded by red, inflamed tissue, on MOVABLE mucosa not fixed (ex gingiva). multiple and recurrent and painful dx is
aphthous ulcers