Lesions Of The Mucosa

Question 0

What are causes of vascular red lesions?

Answer 0

telangectasias: hereditary or radiation induced
Sublingual variecies
Haemangiomas

Question 1

What are the causes of red lesions?

Answer 1

Vascular
Infective
Purpura
Erosive
Reactive
Atrophic
Neoplasm

Question 2

What are the causes of red infective lesions?

Answer 2

Fungal: candida 
Viral: Herpes, zoster 
Mucositis ; radio or chemo
Deep mycosis 
Immune reaction: plasma cell gingivitis, GvHD, granulomatous

Question 3

What are the causes of red purpura?

Answer 3

Platelet disorder
Trauma
ABH

Question 4

What are the causes of red erosive lesions?

Answer 4

Burns
Erosive or atrophic LP
VB

Question 5

What are the causes of reactive red lesions?

Answer 5

Pyogenic granuloma
Gingival Epulis
Fibroepithelial polyp

Question 6

What are the causes of atrophic red lesions?

Answer 6

Atrophic lichen planus
Erythroleukoplakia
Erythema migrans
Iron defeciency states

Question 7

What are differential dx of red neoplastic lesions?

Answer 7

Kaposis sarcoma
Amelonotic melanoma
SCC

Question 8

What are the causes of white lesions?

Answer 8

Congenital
Others: burns
Infective/ Inflam
Neoplasms

Question 9

What are the causes of congenital white lesions?

Answer 9

Leukoedema: usually seen on buccal mucosa
Dyskeratosis Congenita: genetic mutation
White sponge Neavus

Question 10

What is leukodeama?

Answer 10

More common in smokers and black people and people that smoke cannbis it is associated with oedema within the superficial epidermal layers

Question 11

What are the causes if infective / Inflam white lesions?

Answer 11

Infective: syphylis and candida and EBV(hairy leukoplakia)

Inflam: LP/Lupus

Question 12

What are the neoplastic diagnosis for white lesions?

Answer 12

SCC

Leukoplakia

Question 13

What are the two Broad causes of pigmented lesions ?

Answer 13

Intrinisic or extrinsic

Question 14

What are the causes of intrinsic localised lesions?

Answer 14

Amalgam tattoo
Foreign body
Chronic Inflam eg lichen planus in darker skinned people 
Pigmented neuroectodermal tumour 
Melanocytic

Question 15

What are the types of Melanocytic lesions?

Answer 15

Macule
Naevus
Melanoma

Question 16

Where are macules normally found?

Answer 16

Palate and lip

Brown less than 1cm

Question 17

How do Neavus usually present?

Answer 17

Less than 1 cm and black blue raised and on the palate

Question 18

What are the causes for generalised intrinsic pigmented lesions?

Answer 18

Drugs eg CHX/ OCP/ Anticonvulsant/ Antimalarial
Smoking
Hypoadrenalism increased ACTH: synthacten test
Post inflam
Genetic eg racial or peutz jeghers
Black hairy tongue: overgrowth of pigment producing organisms with benign overgrowth of film form papilla and lack of normal Desquammation
Haematochoromsis

Question 19

What are mycoses?

Answer 19

Fungal infections affecting humans and animals

Question 20

How can mycoses occur?

Answer 20

Inhalation of fungal spores or localised colonisation of the skin may initiate an infection

Question 21

Give an example of a mycoses affecting the epidermis?

Answer 21

Tinea (Ring worm)
Tinea pedis (ring worm)

Question 22

What is white sponge naevus?

Answer 22

AD defect in keratin causing a benign familial disorder. Lesions are typically white, symptomless, bilateral on buccal mucosa with folded edges. E/O sites include anus, genitals, pharynx, nose and URT

Question 23

What is the treatment for white sponge naevus?

Answer 23

family history and examination is usually sufficient however is there is some confusion with another lesion then biopsy is indicated

Question 24

Who is hairy tongue more common amongst?

Answer 24

Smokers
Poor OH
Hypo salivation

Question 25

What is the managemt for black hairy tongue?

Answer 25

Suck on peach stone
OH
Tongue scrape
Surgical shave 
Podophylin paint