soft tissue dif dx principles

Question 1

For Soft Tissue Lesions what should we consider?

Answer 1

• Texture/ Consistency
• Association with surrounding tissue
  – Fixed vs. Moveable
  – Displacing vs. devouring
• Anatomic Location Changes DDx

Question 2

For White lesions, examine:
* Wipe?
* Sources of?
* Chemicals?
* Heat?
* Alter what? then?
* White lesions risk? location?

Answer 2

• Wipe first
• Sources of Friction
• Chemicals
• Heat
• Alter environment & Re-evaluate
• White lesions are mostly “low-risk” lesions
  – But location matters

Question 3

For Red Lesions
* 1st step?
* Location?
* Habits?
* Trauma?
* Medical History?

Answer 3

• Diascopy
• Location!
• Habits
• Trauma
• Medical History – Coagulation

Question 4

For Red/white Lesions
* Social history?
* Tooth paste/floss?
* Mouthwash?
* Candies, gums, mints, Tic Tacs™, lozenges?
* Herbal supplements?
* Oral Habits?
* Changes in medicines?

Answer 4

• Social history
• Tooth paste/floss
• Mouthwash
• Candies, gums, mints, Tic Tacs™, lozenges
• Herbal supplements
• Oral Habits
  – Tooth picks
• Changes in medicines

Question 5

what to note for pigmented lesions

Answer 5

Number
* Size
* Onset
* Distrubution
* Borders
* Location
– Other areas of the body

Question 6

what to note for ulcers

Answer 6

• Number
• Size
• Onset
  – Speed
  – Prodrome
• Frequency/Duration
• Location
  – Other areas of the body

Question 7

Vesicle

Answer 7

• A small circumscribed elevated lesion usually less than 1cm in diameter, usually contains serous fluid

Question 8

Bulla

Answer 8

• Circumscribed elevated lesion that is around 1cm in diameter, usually

Question 9

Pustule

Answer 9

• Various sized circumscribed elevations containing pus

Question 10

Macule

Answer 10

• 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.

Question 11

Papule

Answer 11

• A small circumscribed lesion usually less than 1cm in diameter that is elevated or protrudes above the surface of normal surrounding tissue.

Question 12

Nodule

Answer 12

• A circumscribed lesion usually greater than 1cm in diameter that is elevated or protrudes above or below the surface of normal surrounding tissue.

Question 13

Plaque

Answer 13

• A patch or differentiated area on a body surface

Question 14

Corrugated

Answer 14

Wrinkled

Question 15

Fissure

Answer 15

A cleft or grove, normal otherwise, showing prominent
depth

Question 16

Papillary

Answer 16

Resembling small nipple-shaped projections or elevations
found in cluste

Question 17

possible actions for lesions once noticed

Answer 17

–Alter environment
–Observe
* Not “active neglect”
–Treat
–Biopsy
–Refer