Oral Path Exam 2 - Other White and Red Lesions Flashcards
Which lesion?
Common (~2% of population) benign condition of unknown cause primarily affecting the tongue (i.e. geographic tongue or benign migratory glossitis)
Erythema migrans
Which lesion?
Rarely affects soft palate, buccal mucosa, and FOM
Erythema migrans
Which lesion?
Yellowish/white
Serpentine or scalloped border
Central erythema
Loss of filiform papillae
Erythema migrans
Which lesion?
Immune-mediated
Erythema migrans
Which lesion?
Lesions move around the mouth in days to weeks
Erythema migrans
Which lesion?
1/3 of patients with a fissured tongue will have this
Erythema migrans
Which lesion?
Active lesions may cause sensitivity to spicy foods
Erythema migrans
Which lesion?
No tx needed
Erythema migrans
Which lesion?
Caused by a variety of caustic agents, many are OTC
Chemical injury
What are the most common causes of chemical injuries? (3)
Aspirin
Hydrogen peroxide
Phenol
Which lesion?
White surface change due to coagulation necrosis of epithelium
Chemical injury
Which lesion?
Heals within 1-2 weeks once offending agent is removed
Chemical injury
Which oral mucosal hemorrhage?
Round, pinpoint area of hemorrhage ≤ 0.2 cm
Petechiae
Which oral mucosal hemorrhage?
Non-elevated area of hemorrhage 0.3 - 1 cm
Purpura
Which oral mucosal hemorrhage?
Non-elevated area of hemorrhage > 1 cm
Ecchymosis (bruise)
Which oral mucosal hemorrhage?
Solid swelling of blood in tissues
Hematoma
Which lesion?
Caused by blunt trauma and increased BP
Oral mucosal hemorrhage
Which lesion?
If generalized, considered a clotting problem or viral infection (mono, measles, etc)
Oral mucosal hemorrhage
Which lesion?
Most often a viral cause (adenovirus, enterovirus, influenza, parainfluenza, EBV)
Tonsillitis
Pharyngitis
Which lesion?
Bacterial etiology = Group A, beta-hemolytic streptococci; can lead to scarlet fever with a rash (exanthem)
Tonsillitis
Pharyngitis
This bacteria causes ~30% of acute cases of tonsillits/pharyngitis in children and 5-15% in adults
Group A, beta-hemolytic strep
Which lesion?
Transmitted by respiratory droplets or oral secretions
Tonsillitis
Pharyngitis
Which lesion has the following signs and symptoms?
Sudden onset of sore throat
Fever 101-104
Dysphagia
Tonsillar hyperplasia
Redness of oropharynx and tonsils
Yellowish tonsillar exudate
Palatal petechiae
Cervical LAD
Tonsillitis
Pharyngitis
Which lesion has the following signs and symptoms in children:
HA
Malaise
Anorexia
Abdominal pain
Vomiting
Tonsillitis
Pharyngitis
Which lesion?
If the following are present, a viral etiology is suggested:
Conjunctivitis
Rhinorrhea
Cough
Hoarseness
Diarrhea
Viral exanthem
Absence of fever
Tonsillitis
Pharyngitis
Which lesion?
Do a rapid antigen detection (good sensitivity + specificity) if bacterial origin is suspected
Tonsillitis
Pharyngitis
Which lesion?
If rapid test is negative, do a throat culture
Tonsillitis
Pharyngitis
Which lesion?
Antibiotic like penicillin or amoxicillin should only be prescribed when bacterial infection is confirmed
Tonsillitis
Pharyngitis
Which lesion?
Tx rationale = to avoid complications of glomerulonephritis, rheumatic fever, or tonsillar abscess
Tonsillitis
Pharyngitis
Which lesion?
Typically self-limited (3-4 days)
Tonsillitis
Pharyngitis
Which lesion?
Chronic infection w/ candida albicans
Oral candidiasis
Which lesion?
Dimorphic (yeast and hyphal forms)
Oral candidiasis
Which lesion?
Most common oral fungal infection
Oral candidiasis
Which lesion?
~30-50% carrier state w/ subclinical infection
Oral candidiasis
Which lesion?
One or more clinical patterns may exist
Oral candidiasis
Which lesion?
Affects young/elderly, immunosuppressed,
following broad-spectrum antibiotics, steroid
therapy, cigarette smoking, denture wearers
and xerostomics
Oral candidiasis
What are the 3 clinical presentations of oral candidiasis?
Pseudomembranous
Erythematous
Chronic hyperplastic
Which clinical presentation of oral candidiasis?
Removable white
Pseudomembranous
Which clinical presentation of oral candidiasis?
Red, occasional white component
Erythematous
Which clinical presentation of oral candidiasis?
Acute atrophic (AB sore mouth)
Angular cheilitis
Central papillary atrophy (median rhomboid glossitis)
Central papillary atrophy +/- palatal erythema (kissing lesion)
Any combo of these = chronic multifocal candidiasis
Erythematous
Which clinical presentation of oral candidiasis?
Non-removable white
Chronic hyperplastic
Which clinical presentation of oral candidiasis?
AKA “thrush”
Pseudomembranous
Which clinical presentation of oral candidiasis?
Removable cheesy, white plaques on buccal mucosa, palate and tongue
Pseudomembranous
Which clinical presentation of oral candidiasis?
Scraping reveals a normal or erythematous (non-bleeding) surface
Pseudomembranous
Which clinical presentation of oral candidiasis?
Burning sensation or bad taste in the mouth
Pseudomembranous
Which clinical presentation of oral candidiasis?
Often acute onset with antibiotic exposure; slower onset with immunosuppression
Pseudomembranous
Which clinical presentation of oral erythematous candidiasis?
“Antibiotic sore mouth”- comes on after antibiotic use
Acute atrophic candidiasis
Which clinical presentation of oral erythematous candidiasis?
Scalded sensation to tongue
Acute atrophic candidiasis
Which clinical presentation of oral erythematous candidiasis?
Diffuse loss of filiform papillae
Acute atrophic candidiasis
Which clinical presentation of oral erythematous candidiasis?
Median rhomboid glossitis
Central papillary atrophy
Which clinical presentation of oral erythematous candidiasis?
Well-demarcated red zone, posterior dorsal tongue, midline, flat, smooth, symmetric
Central papillary atrophy
Which clinical presentation of oral erythematous candidiasis?
Often asymptomatic
Central papillary atrophy
Which clinical presentation of oral erythematous candidiasis?
Central papillary atrophy + an additional site (kissing lesion on palate and/or angular cheilitis)
Chronic multifocal candidiasis
Which clinical presentation of oral erythematous candidiasis?
Erythema, fissuring, and scaling of the
angles of the mouth; waxes and wanes
Angular cheilitis
Which clinical presentation of oral erythematous candidiasis?
Can occur alone or with other forms of
erythematous candidiasis
Angular cheilitis
Which clinical presentation of oral erythematous candidiasis?
Reduced VDO predisposes to this presentation
Angular cheilitis
Which clinical presentation of oral erythematous candidiasis?
20% candida alone
60% candida + staph aureus
20% staph aureus alone
Angular cheilitis
Which clinical presentation of oral erythematous candidiasis?
More extensive perioral involvement = cheilocandidiasis
Angular cheilitis
Which lesion?
Also called chronic atrophic candidiasis
Denture stomatitis
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