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Oral Med - Cinical Features & Diff Diag > Ulcerations > Flashcards

Ulcerations Flashcards

1
Q

Nectrotizing Sialometaplasia

A

Painless Swelling

Dusky, Ulcerated Erythema in Hard Palate

Associated anaesthesia of area

Differential Diagnosis:

SCC - although SCC uncommon on Hard Palate

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1
Q

Reversed

Oral Ulceration on non-keratinized surfaces

Single or multiple small lesions

Fever

Malaise

Cervical lymphadenopathy

Infections

DIffernential Diagnosis:

MiRAS, Behcet’s Disease

A

Cyclic Neutropenia

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2
Q

Herpetiform RAS

A

Ulcers similar to MiRAS but increased number

Up to 50 seperate lesions

Differential Diagnosis:

Primary Herpetic Gingivostomatitis

ANUG

Behcet’s DIsease

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2
Q

Erosive Lichen Planus

A

White patches or striae

May affect any oral site

Erosive form of disease may form Ulceration

Differential Diagnosis:

Lichenoid Reaction

SSC

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2
Q

Lichenoid Reaction

A

Widespread Irregular White Patches

Occasional ulceration with sloughing

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2
Q

Osteoradionecrosis

A

Ulceration and Necrosis of Soft tissues

Areas of exposed bone

Growing areas of bone necrosis

Portions of bone may eventually be lost

Histroy of Radiation followed by minor trauma e.g XLA

Degree of severity in proportion with ammount of radiation

Differential diagnosis

SSC

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2
Q

Reversed

Widespread Irregular White Patches

Occasional ulceration with sloughing

A

Lichenoid Reaction

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3
Q

Behcet’s Disease

A

Multisystem Condition

Usually begins in 3rd decade of life

Oral and Genital Manifestations

Ulceration

Uveitis

CVD

Differential Diagnosis:

Any form of RAS

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3
Q

Bisphosphonate-related osteonecrosis of the jaw

A

Exposed bone for 8+ weeks without evidence of malignancy or prior radiotherapy.

Usually occurs poth tooth extraction

Can lead to tooth loss, infection, exudate and sinus tract formation.

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3
Q

Reversed

Exposed bone for 8+ weeks without evidence of malignancy or prior radiotherapy.

Usually occurs post tooth extraction

Can lead to tooth loss, infection, exudate and sinus tract formation.

A

Bisphosphonate-related osteonecrosis of the jaw

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3
Q

Reversed

Rapid formation of painful ulceration

Located at gingival margin & Interdental papillae

Marked Halitosis

Most commonly affects Mandibular Anterior region

A

ANUG

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4
Q

Cyclic Neutropenia

A

Oral Ulceration on non-keratinized surfaces

Single or multiple small lesions

Fever

Malaise

Cervical lymphadenopathy

Infections

DIffernential Diagnosis:

MiRAS, Behcet’s Disease

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6
Q

Squamous Cell Carcinoma

A

Can vary from small erythmatous patch to large ulceration

70% of cases present in floor of mouth, tongue and retromolar region

Rolled, indurated margins when present on lip

60-70% Are painless at early stage

Differential Diagnosis:

RAS, Traumatic Ulceration

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8
Q

Reversed

Multisystem Condition

Usually begins in 3rd decade of life

Oral and Genital Manifestations

Ulceration

Uveitis

CVD

Differential Diagnosis:

Any form of RAS

A

Behcet’s Disease

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9
Q

Minor RAS

A

Small or small number of shallow ulcers approx 5mm in diammeter or less.

Affects non-keratinized sites e.g labial mucosa, buccal mucosa, floor of mouth

Heal 10-14 days without scarring

Differnential Diagnosis: Traumatic Ulceration, Cyclic Neutropenia, Behcet’s Disease

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12
Q

Epstein-Barr virus - associated ulceration

A

Isolated mucosal lesion

Central necrosis

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13
Q

Radiotherapy Induced Mucositis

A

General erythema of Mucosa

Areas of shallow ulceration and fibrinous exudate

Pain , **Xerostomia, **Loss of taste

Begins 1-2 weeks post radiation therapy

Differential Diagnosis

Graft Vs Host

Erosive Lichen Planus

SSC

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14
Q

Reversed

Macular or Papular rash

‘Snail Track’ Ulcers in 1/3 of cases

Febrile illness

Malaise

Headache

Lymphadenopathy

Sore Throat

Appear 6+weeks after infection, resolve within 2-6 weeks

A

Syphilis - Stage 2

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16
Q

Reversed

Gumma in the Palate

Leukoplakia affecting dorsal surface of tongue

A

Syphilis - Stage 3

19
Q

Reversed

Single Localised deep ulcer

Irregular outline

In Cases of chemical irritation:

Widespread area superficial area of erosion

Slough of fibrinous exudate

Differntial Diagnosis: RAS, Cyclic Neutropenia

A

Traumatic Ulceration

21
Q

Reversed

Painless Swelling

Dusky, Ulcerated Erythema in Hard Palate

Associated anaesthesia of area

Differential Diagnosis:

SCC - although SCC uncommon on Hard Palate

A

Nectrotizing Sialometaplasia

23
Q

Syphilis - Stage 1

A

Firm Nodule

Breaks down after few days to leave painless ulcer with indurated margins

Enlarged Cervical Lymph Nodes

Resolves wthin 3-12 weeks without scarring

24
Q

Reversed

Ulcers 1-3cm in diammeter

singular or 2-3 at a time

Last 4-6 weeks

Can affect any Oral Site - including keratinized

Can sometimes scar.

Differntial Diagnosis: Cyclic Neutropenia, Behcet’s Disease, Traumatic Ulcer

A

Major RAS

24
Q

Reversed

Isolated mucosal lesion

Central necrosis

A

Epstein-Barr virus - associated ulceration

25
Q

Reversed

Ulcer on dorsal surface of tongue

**may affect other sites **

Irregular ulcers

Raised Borders

Blood-tingued Sputum, night sweats, fever, weight-loss

Differential Diagnosis:

Deep Fungal Infection

SCC

A

Tuberculosis

26
Q

Major RAS

A

Ulcers 1-3cm in diammeter

singular or 2-3 at a time

Last 4-6 weeks

Can affect any Oral Site - including keratinized

Can sometimes scar.

Differntial Diagnosis: Cyclic Neutropenia, Behcet’s Disease, Traumatic Ulcer

27
Q

Graft Versus Host Disease

A

Acute Form:

occurs

Skin rashes and Blisters occur in 50% of cases

Chronic Form:

>100 days following BMT

WHit ereticulatedlesions

Burning Mucosa

Xerostomia

Differential Diagnosis:

Erosive Lichen Planus

28
Q

ANUG

A

Rapid formation of painful ulceration

Located at gingival margin & Interdental papillae

Marked Halitosis

Most commonly affects Mandibular Anterior region

29
Q
A
30
Q

Tuberculosis

A

Ulcer on dorsal surface of tongue

**may affect other sites **

Irregular ulcers

Raised Borders

Blood-tingued Sputum, night sweats, fever, weight-loss

Differential Diagnosis:

Deep Fungal Infection

SCC

31
Q

Syphilis - Stage 3

A

Gumma in the Palate

Leukoplakia affecting dorsal surface of tongue

32
Q

Reversed

Small or small number of shallow ulcers approx 5mm in diammeter or less.

Affects non-keratinized sites e.g labial mucosa, buccal mucosa, floor of mouth

Heal 10-14 days without scarring

Differnential Diagnosis: Traumatic Ulceration, Cyclic Neutropenia, Behcet’s Disease

A

Minor RAS

33
Q

Reversed

General erythema of Mucosa

Areas of shallow ulceration and fibrinous exudate

Pain , **Xerostomia, **Loss of taste

Begins 1-2 weeks post radiation therapy

Differential Diagnosis

Graft Vs Host

Erosive Lichen Planus

SSC

A

Radiotherapy Induced Mucositis

34
Q

Syphilis - Stage 2

A

Macular or Papular rash

‘Snail Track’ Ulcers in 1/3 of cases

Febrile illness

Malaise

Headache

Lymphadenopathy

Sore Throat

Appear 6+weeks after infection, resolve within 2-6 weeks

35
Q

Reversed

Ulceration and Necrosis of Soft tissues

areas of exposed bone

Growing areas of bone necrosis

Portions of bone may eventually be lost

Histroy of Radiation followed by minor trauma e.g XLA

Degree of severity in proportion with ammount of radiation

Differential diagnosis

SSC

A

Osteoradionecrosis

36
Q

Reversed

Ulcers similar to MiRAS but increased number

Up to 50 seperate lesions

Differential Diagnosis:

Primary Herpetic Gingivostomatitis

ANUG

Behcet’s DIsease

A

Herpetiform RAS

37
Q

Reversed

White patches or striae

May affect any oral site

Erosive form of disease may form Ulceration

Differential Diagnosis:

Lichenoid Reaction

SSC

A

Erosive Lichen Planus

38
Q

Reversed

Can vary from small erythmatous patch to large ulceration

70% of cases present in floor of mouth, tongue and retromolar region

Rolled, indurated margins when present on lip

60-70% Are painless at early stage

Differential Diagnosis:

RAS, Traumatic Ulceration

A

Squamous Cell Carcinoma

39
Q

Traumatic Ulceration

A

Single Localised deep ulcer

Irregular outline

In Cases of chemical irritation:

Widespread area superficial area of erosion

Slough of fibrinous exudate

Differntial Diagnosis: RAS, Cyclic Neutropenia

40
Q

Reversed

Acute Form:

occurs

Skin rashes and Blisters occur in 50% of cases

Chronic Form:

>100 days following BMT

WHit ereticulatedlesions

Burning Mucosa

Xerostomia

Differential Diagnosis:

Erosive Lichen Planus

A

Graft Versus Host Disease

41
Q

Reversed

Firm Nodule

Breaks down after few days to leave painless ulcer with indurated margins

Enlarged Cervical Lymph Nodes

Resolves wthin 3-12 weeks without scarring

A

Syphilis - Stage 1

42
Q
A
43
Q
A
44
Q
A
45
Q
A

Oral Med - Cinical Features & Diff Diag (3 decks)

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