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OM > Red and white patches > Flashcards

Red and white patches Flashcards

1
Q

Mucosa colour depends on…

A

epithelial thickness
keratinisation
vasculature
inflammation
melanin

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2
Q

white patches causes

A

increased keratin
abnormal
candida

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3
Q

Systemic RF for candida

A

Immunocompromised : Medication, Medical conditions
Deficiency states: Anaemia
Extremes of age

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4
Q

Local RF for candida

A

Hyposalivation
Smoking
broad-spectrum antimicrobials
Corticosteroids
Thrush/Yeast/Fungal infection

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5
Q

Antifungal Management of Candida

A

Fluconazole
Miconazole
Nystatin

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6
Q

Local Measures of Candida

A

Rinse after inhalers
Use a Spacer
Denture hygiene
Smoking cessation

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7
Q

Traumatic Keratosis

A

increased keratin at site
encourage smoking cessation
refer if high risk site/patient

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8
Q

OLP types

A

reticular
atrophic
papular
erosive
plaque like
bullous

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9
Q

OLP

A

CD8+ T Cell-mediated destruction of basal keratinocytes
asymptomatic
burning/stinging
generalised/idiopathic
malignant potential 1% over 10 years

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10
Q

OLR causing drugs

A

Antihypertensives
Antimalarials
NSAIDS
Allopurinol
Lithium

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11
Q

OLR causing materials

A

metals (gold, nickel)

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12
Q

OLP/OLR Management (symptomatic relief)

A

HSMW
L.A (lidocaine)
Avoid triggers ( spicy food, fizzy drink)
Steroid MW (betamethasone)
Beclomethasone MDI
Change restorations
Referral to OM

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13
Q

Hairy Leukoplakia

A

lateral border of tongue
para-keratin projections
acanthotic
Triggered by EBV
(20-25% HIV patients)

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14
Q

Leukoplakia

A

clinical diagnosis
malignant potential
can be dysplastic
need biopsy for histological diagnosis

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15
Q

Red patches

A

atrophic tissue (becomes thinner)
inflammation
patch with no known cause (high malignant potential)

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16
Q

Granulomatosis with polyangiitis

A

systemic vasculitis
fever and weight loss
92% have ENT manifestations
potentially fatal
management with immunosuppressants

17
Q

Erythroplakia

A

velvety, firery, red patch
high malignant potential
URGENT REFERRAL

18
Q

OFG and Oral Crohn’s

A

non necrotising granuloma formation
Consider GI Investigations

19
Q

OFG and Oral Crohn’s Management

A

Topical steroids
Avoidance diets
Intralesional steroid
Biologics for Crohn’s disease
(Infliximab, adalimumab(Anti TNF), ustekinumab (Anti IL21/23, vedolizumab(Anti-a4b7))

20
Q

Erythroleukoplakia

A

Speckled red and white patches
High malignant change potential

21
Q

Erythroleukoplakia management

A

URGENT REFFERAL

22
Q

Lesion assessment

A

location
colour
hard or soft (induration)
raised or flat
texture
symmetry
wipeable?
homo/heterogenity

OM (8 decks)

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