Principles of Soft Tissue Differential Diagnosis Flashcards
what patient factors contribute to diff dx
- age, gender, race
- current medical condition and meds
- supplements
- social hx
- oral habits
- past med history
what should you do for white lesions
- wipe first
- sources of friction
- chemicals
- heat
- alter environment and re-evaluate
white lesions are mostly _____ lesions
low risk
what should be considered for red lesions
- diascopy
- location
- habits
- trauma
- medical history - coagulation
what should you consider for red/white lesions
- social history
- tooth paste/floss
- mouth wash
- candies, gums, mints, tic tacs, lozenges
- herbal supplements
- oral habits
- changes in medicines
what should you consider for pigmented lesions
- number
- size
- onset
- distribution
- borders
- locations
what should you consider for ulcers
- numbers
- size
- onset
- frequency/duration
- location
when describing the lesion what do you describe
- size
-shape - color
- borders
- texture
- consistency
- location
what is a vesicel
a small elevated lesion usually less than 1cm in diameter, usually containing serous fluid
what is a bulla
elevated lesion that is around 1 cm in diameter, usually contains serous fluid
what is a pustule
various sized elevated lesion containing pus
what is a macule
area that is distinguished by a color different from that of the surrounding tissue
- flat
what is a papule
a small lesion less than 1cm in diameter that is elevated
what is a nodule
a lesion greater than 1 cm in diameter that is elevated
what is pedunculated
attached by a stem like to stalk base
what is sessile
the base of a lesion is flat stem- like
what is an ulcer
a loss of continuity of the epithelium that penetrates to the underlying connective tissue
what is a plaque
a patch or differentiated area on a body surface
what does corrugated mean
wrinkled
what is a fissure
cleft or groove, normal otherwise, showing prominent depth
what is papillary
resembling small nipple- shaped projections or elevations found in clusters
if you are describing a lesion as smooth, rough or folded what part of the lesion are you describing
surface texture
