Oral and Maxillofacial Pathology Flashcards
clinical diagnosis
diagnosis is derived from the clinical appearance and palpation of the lesion. It is based on color, shape, location, and history of the lesion.
historical diagnosis
personal history, family, histroy, past and present medical and dental histories, history of drug ingestion , and history of the presenting disease or lesion provides information necessary for the definitive diagnosis
laboratory diagnosis
laboratory tests, including blood chemistries and urinalysis, can provide conclusive information for a definitive diagnosis
microscopic (histologic) diagnosis
microscopic evaluation of a biopsy specimen taken from the lesion is often the main component of he definitive diagnosis
surgical diagnosis
surgical intervention provides conclusive evidence of the diagnosis when the lesion is opened
therapeutic diagnosis
prescribing therapeutic drugs and observing the results based on clinical and historical information
differential diagnosis
a list of possible diseases or lesions that fit the information derived from evaluation of the patient
clinical symptoms
described by the patient: pain (mild, moderate, severe) throbbing pain and ache pressure pain heat chill sweating
clinical signs
described by the examiner
macule
an area that is usually distinguished by a color different from that of the surrounding tissue. it is flat and does not protrude above the surface of the normal tissue
papule
a small circumscribed lesion usually less than 1 cm in diameter that is elevated or protrudes above the surface of normal surrounding tissue
nodule
a palpable solid lesion up to 1 cm in diameter found in soft tissue. It can occur above, level with, or beneath the skin or mucosal surface.
tumor
a solid, raised mass that is larger than 1 cm, in diameter and has the dimension of depth. this term also describes a mass of consisting neoplastic cells
exophytic
an outwardly growing lesion
pedunculated
attached by a stem-like of stalk base similar to that of a mushroom
sessile
describing the base of a lesion that is flat or broad instead of stem like
papillary
describing a small nipple-shaped projection or elevation usually found in clusters
vesicle
a well defined lesion of the skin and mucosa membranes that resemble a sac, contains fluid, and less than 1 cm in diameter
bulla
a circumscribed elevated lesion that is more than 1 cm in diameter, usually contains serous fluid, and looks like a blister
pustule
variously-sized circumscribed elevations containing pus
ulcer
loss of surface tissue due to a sloughing of necrotic inflammatory tissue.
it can be caused by infection, trauma, abnormal immune reaction, malignancies (cancer)
erosion
a non-healing ulcer
fissure
a narrow slit or cleft