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oral path > top 30 most common- pictures > Flashcards

top 30 most common- pictures Flashcards

1
Q
A

1 most common: Leukoplakia

Doesn’t rub off, bx it

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2
Q
A

Leukoplakia

tx: remove it

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3
Q
A

this is: materia alba

1) materia alba
2) White coated tongue
3) burn: thermal, chemical, cotton roll, aspirin, etc
4) pseudomembranous candidiasis
5) toothpaste/mouthwash overdose

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4
Q
A

Materia Alba

Tx: white it off

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5
Q
A

White coated tongue

Tx: treat the udnerlying AIDs

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6
Q
A

Burns: thermal, electrical, chemical, aspirin, cotton roll

tx: discontinue use of chemical

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7
Q
A

aspirin burn

tx: discontinue use of aspirin

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8
Q
A

aspirin burn

tx: discontinue use

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9
Q
A

listerine overdosing

tx: discontinue use

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10
Q
A

cotton roll burn

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11
Q
A

Candidiasis

tx: antifungal

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12
Q
A

Candidiasis/trush

tx: antifungal

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13
Q
A

Candida Albicans

Tx: antifungal

4 ways to dx: clinical findings, culture (sabouraud’s media, cytology (smear), bx

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14
Q
A

Candidiasis

tx: antifungal

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15
Q
A

Candidiasis

tx: antifungal

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16
Q
A

Candidiasis

White Pseudomembranous
Red Erythematous
Central Papillary Atrophy of tongue
Angular Cheilitis
Denture Stomatitis
Mucocutaneous

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17
Q
A

Angular Chelitis

Tx: antifungals

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18
Q
A

Central Papillary Atrophy of tongue (Median Rhomboid Glossitis)

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19
Q
A

Candidiasis

Tx: antifungal

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20
Q
A

LINEA ALBA: No treatment
LEUKOEDEMA: No treatment
NICOTINE STOMATITIS: Discontinue smoking.
ORAL HAIRY LEUKOPLAKIA: Treat the underlying AIDS
TOBACCO POUCH KERATOSIS: Discontinue “dipping”
LICHEN PLANUS: Steroids

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21
Q
A

Linea Alba

Tx: none

Bilateral on B mucosa @ occlusal plane

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22
Q
A

Leukoedema

Tx: none

bilateral; diffuse grayish white milky opalescent appearance

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23
Q
A

leukoedema

Tx: none; disappears when cheek is stretched

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24
Q
A

nicotine stomatitis

tx: stop smoking

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25
Q
A

nicotine stomatitis

tx: stop smoking

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26
Q
A

nicotine stomatitis

tx: stop smoking

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27
Q
A

oral hairy leukoplakia

Tx: treat the AIDs

bilateral folds on lateral surface of tongue; EBV lesion seen in AIDs pts

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28
Q
A

oral hairy leukoplakia

Tx: treat the AIDs

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29
Q
A

oral hairy leukoplakia

Tx: treat the AIDs

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30
Q
A

tobacco pouch keratosis

tx: stop dipping or move it around

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31
Q
A

tobacco pouch keratosis

tx: stop dipping or move it around

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32
Q
A

tobacco pouch keratosis, it can become VERRUCOUS CARCINOMA

tx: stop dipping or move it around

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33
Q
A

lichen planus on skin: purple, pruritic, polygonal papules; chronic mucocutaneous disease

tx: steroids

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34
Q
A

Oral lichen planus

tx: lidex/steroids for erosive type

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35
Q
A

Oral lichen planus

tx: lidex/steroids for erosive type

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36
Q
A

Oral lichen planus; Left: reticular; RIght: Erosive

tx: lidex/steroids for erosive type

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37
Q
A

Oral LP due to lichenoid drug rxn

tx: change drug

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38
Q
A

Oral lichen planus

tx: steroids for erosive type
histo: saw toothed rete ridges and band like lymphocytic infiltrate

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39
Q
A

leukoplakia

tx: bx most severe area

clinical term only

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40
Q
A

leukoplakia: hyperkeratosis

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41
Q
A

leukoplakia: dysplasia

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42
Q
A

leukoplakia: carcinoma in situ

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43
Q
A

leukoplakia: SCC

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44
Q
A

Tori

tx: none, remove for dentures

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45
Q
A

Tori

tx: none, remove for dentures

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46
Q
A

Tori

tx: none, remove for dentures

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47
Q
A

Tori

tx: none, remove for dentures

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48
Q
A

Tori

tx: none, remove for dentures

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49
Q
A

3: INFLAMMATION or IRRITATION

TRAUMATIC ULCER
PERICORONITIS
PERIODONTAL ABSCESS
A.N.U.G.
PARULUS

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50
Q
A

traumatic ulcer

51
Q
A

traumatic ulcer post local anesthetic

52
Q
A

traumatic ulcer: pericoronitis

53
Q
A

traumatic ulcer: periodontal abscess

54
Q
A

A.N.U.G

55
Q

most common benign neoplasm of the oral cavity

A

Fibroma

Tx: surgical excision

location: B mucosa > labial mucosa > tongue > gingiva

56
Q
A

fibroma

tx: surgical excision

57
Q
A

Fibroma look a likes on the gingiva: 3Ps and FIFH
Pyogenic granuloma
Peripheral Giant Cell Granuloma
Peripheral Ossifying Fibroma

Focal Inflammatory Fibrous Hyperplasia

58
Q
A

pyogenic granuloma

tx: conservative excision + SRP

75% on gingiva; 25% on tongue, lips, B mucosa

59
Q
A

peripheral giant cell granuloma

tx: excision down to bone + SRP

Histology = Multinucleated giant cells with vascular background. 50% are ulcerated.

reactive lesion caused by local irritation or trauma on alveolus

more blue-purple compared to bright red of pyogenic granuloma

60
Q
A

peripheral ossifying fibroma

tx: local surgical excision + SRP
histo: bone w/in fibrous ct

61
Q
A

focal inflammatory fibrous hyperplasia

tx: remove the cause and surgically remove the hyperplastic tissue
histo: increase fibroblasts and collagen; reactive lesion due to lcoal irritation

62
Q
A

Fordyce’s granules

tx: none

YELLOW papules; B mucosa > lips

63
Q
A

fordyce’s granules

tx: none

64
Q
A

hemangioma

tx: surgery, laser, embolization

65
Q
A

hemangioma

tx: surgery, laser, embolization

blanches under pressure

66
Q
A

hemangioma

tx: surgery, laser, embolization

67
Q
A

Sturge Weber

hemangioma

tx: surgery, laser, embolization

68
Q
A

hemangioma

tx: surgery, laser, embolization

69
Q
A

RAU

Tx: steroids and antibiotics

Location + Size + Number for dx

Non-keratinized, non-bound down mucosa
1-2 lesions, .5-1 cm in diameter

70
Q
A

RAU

Tx: steroids and antibiotics

Location + Size + Number for dx

Non-keratinized, non-bound down mucosa
1-2 lesions, .5-1 cm in diameter

71
Q
A

RAU- complications: major, herpetiform, Behcet’s

72
Q
A

Papilloma

tx: surgical excision

73
Q
A

papilloma

74
Q
A

epulis fissuratum

focal inflammatory fibrous hyperplasia at flange of ill fitting denture

tx: surgical excision w/relining/remake denture

75
Q
A

epulis fissuratum

tx: surgical excision w/relining/remake denture

76
Q
A

epulis fissuratum

tx: surgical excision w/relining/remake denture

77
Q
A

varicosities

tx: none

78
Q
A

fissured tongue/scrotal tongue

tx: brush tongue

79
Q
A

geographic tongue/ benign migratory glossitis

tx: none

80
Q
A

geographic tongue

tx: none

81
Q
A

extopic geogrpahic tongue

82
Q
A

papillary hyperplasia

tx: surgical excision, reline/remake denture

83
Q
A

papillary hyperplasia

tx: surgical excision, reline/remake denture

84
Q
A

herpes

tx: antiviral

85
Q
A

herpetic keratoconjunctivitis

86
Q
A

primary oral herpes infection

tx: antivirals, best given prodromal stage to day 3

87
Q
A

recurrent oral herpes infection: herpes labialis

tx: antivirals

88
Q
A

recurrent oral herpes infection: herpes labialis

tx: antivirals

89
Q
A

recurrent oral herpes infection: herpes labialis

tx: antivirals

Bound down keratinized epithelium
Multiple (10-15) cluster of lesions: Vesicle progressing to ulcer.
1-2 mm in diameter

90
Q
A

herpes

tx: antivirals

91
Q
A

herpes

-serology, virus isolation, bx, cytology

92
Q
A

herpes

93
Q
A

mucocele

tx: surgical excision along w/feeder gland

94
Q
A

mucocele

tx: surgical excision along w/feeder gland

95
Q
A

mucocele- ranula

tx: surgical excision along w/feeder gland

96
Q
A

scar tissue

tx: none

97
Q
A

angular cheitis

tx: antifungals, increase VDO

98
Q
A

angular cheilitis

tx: antifungals, increase VDO

99
Q
A

angular cheilitis

tx: antifungals, increase VDO

100
Q
A

lingual tonsil

tx: none

Lymphoid hyperplasia on the posterior lateral borders of the tongue, bilateral

101
Q
A

lingual tonsil

tx: none

102
Q
A

lingual tonsil

tx: none

reactive lymphoid aggregate

103
Q
A

hematoma

tx: none

accumulation of blood w/in tissues secondary to trauma

104
Q
A

tobacco pouch

tx: stop dipping

105
Q
A

chronic cheek biting/ morsicatio buccarum, labiorum, linguarum

tx: none or bite guard

106
Q
A

lichen planus

tx: steroids

Striae of Wichkam

107
Q
A

chronic lichen planus

108
Q
A

lichen planus

109
Q
A

buccal exostoses

tx: removal only w/chronic repeated trauma or preprosthetic surgery

110
Q
A

buccal exostoses

Male = female

111
Q
A

exostoses- also on palate, subpontic, subgraft

112
Q
A

amalgam tattoo

tx: none, may need bx to rule out melanoma

113
Q
A

amalgam tattoo

tx: none, may need bx to rule out melanoma

114
Q
A

oral melanotic macule

tx: none but may need bx to rule out melanoma

focal melanosis- oral freckle

lower lip > B mucosa > gingiva

115
Q
A

median rhomboid glossitis

tx: antifungals and brushing tongue

116
Q
A

black hairy tongue

tx: tongue scraping or brushing

117
Q
A

black hairy tongue

118
Q
A

smooth red tongue

tx: find underlying cause and stop it
causes: pernicious anemia, medications, avitaminosis
symptoms: burning/pain

119
Q
A

epidermoid cyst

tx: surgical removal

Skin cysts associated with inflammation of a hair follicle

Oral cysts occur in the midline of the floor of the mouth

120
Q
A

epidermoid cyst

121
Q
A

epidermoid cyst

122
Q
A

lipoma

tx: surgical excision

YELLOW

Skin lesions: trunk and proximal portions of the extremities
Oral lesions: B mucosa > tongue > FOM > lips

123
Q
A

lipoma

tx: surgical excision

oral path (13 decks)

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