Oral Lesions Flashcards by Wendy Pitts

Q

brushable white plaques,

sore throat

A

Oropharyngeal Candidiasis

Nystatin suspension

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Q

vesicular exanthem,

high fever

A

Herpangina: Coxsackie A

self-limiting

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Q

rash, ST, mouth ulcers

A

Acute Retroviral Syndrome: HIV

Refer

Test: HIV RNA

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Q

grouped vesicles, erythematous base

A

Herpes Simplex Virus

ASAP -clovirs meds

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Q

painful, pale papules: mouth, hands, feet

A

Hand/Foot/Mouth: Coxsackie A16

self-limiting

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Q

painful, gray, non-vascular lesions

A

Aphthae (canker sore)

tx sxs

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Q

recurrent oral/genital aphthae

A

Behcet’s

Refer to Rheumatology

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Q

strep throat sxs; no cough

A

Mononucleosis: epstein barr

self-limiting; spleen precautions

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Q

white, unbrushable lesions

A

Leukoplakia

refer

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Q

white, lacy lesions

A

Lichen planus (oral)

tx pain

Test: exfoliative cytology

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Q

unresolving ulcers, papules

A

SCC

refer

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Q

painless chancre

A

Syphilis: treponema pallidum

Benzathine PCN

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Q

fluid filled cavities w/ mucous glands

A

Mucoceles

cryo, excision

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Q

black, hairy tongue

A

Lingua Nigra

self-limiting

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Q

erythematous patches w/ white borders

A

Geographic tongue

no tx, benign

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Q

blue-black macule near filling

A

Amalgam tattoo

no tx, benign

Q

painful ulcerations, usu mouth and trunk

A

Stevens-Johnson syndrome (Erythema Multiforme Major)

life threatening, corticosteroids

*usu drug rxn to sulfa

Q

slow onset of tender, flaccid bullae;

Nikolky’s Sign

A

Pemphigus

corticosteroids, immunosuppressant

Biopsy: + acantholysis

Q

pruritic, blisters on flexor surfaces

A

Bullous Pemphigoid: unknown autoimm

refer