Week 0.5 Flashcards
Papule
Raised lesion
Any color
Less than 5mm
Nodule
Solid, raised lesion
Any color
Greater than 5mm
Tumor/mass
Solid, raised mass
any color
Greater than 1cm
Sessile
(3 terms) and description
Papule/nodule or mass
*Base wider than apex
Pedunculated
(3 terms) and Description
Papule, nodule or tumor/mass
*has a stalk!
Verrucous
Warty, rough surface
Vesicle
Fluid filled! Elevation
any color
less than 5mm
Bulla
Fluid filled! Elevation
any color
Greater than 5mm
Ulcer
Description
-*Due to:
Discontinuous surface mucosa
*due to microscopic death of cells
Erosion
Superficial loss of epithelium
Erosion of Buccal mucosa
layer lost
Layer lost: Stratum Lucidum
Erosion of Gingival mucosa
layer lost
Layer lost: Stratum corneum
Fissure
Narrow, slit
**Ulceration or groove
Plaque/patch
FLAT TOPPED elevated area
Petechia
ROUND
pinpoint area of hemorrhage
Ecchymosis
Non-ELEVATED
area of hemorrhage larger than petechia
Telangiectasia
vascular lesion caused by dilation of small, superficial blood vessel
Sinus/fistula
-non suppurating
Hollow passage
Between tubular organ and outside body
OR
Between two tubular organs
Sinus/fistula
-suppurating
Suppurating CAVITY TRACT (cyst or abscess)
TO: surface mucosa
Cyst
PATHOLOGIC epithelium lined cavity filled with liquid or semi-solid
Two types of clinical features
Symptoms and Signs
Signs
Detected by DR examiation
Symptoms
Complaints of the patients
Macule
FLAT area
odd color
usually 1cm or smaller
3 General! Types of Vesiculobullous ulcerative diseases
- Hereditary
- Viral
- Immunologic (autoimmune)
1 Hereditary type of Vesiculobullous ulcerative disease
Epidermolysis bullosa
5 types of viral vesiculobullous
- Herpes Simplex AND
- Varicella-Zoster
- Hand foot and mouth
- Herpangina
- Measles
- Varicella-Zoster
3 immunologic diseases
- Pemphigus Vulgaris
* 2. Mucous membrane Pemphigoid - Bullous pemphigoid
Mucocele
3
*unbroken vesicle (swelling from glands IN connective tissue)
no pain
Filled with mucin
Acute lesions
Pain
Recent
Fever/malaise/other systemic symptoms
Vesicle with erosion and ulceration
Chronic (1 yr) Pain on eating Not systemic Bleeding gums Dr. gave antibiotic w/ no change
6 herpetic infections and tissues involved
- HSV1–Epithelial
- HSV2–Epithelial
- Varicella-Zoster–Nerve (trigeminal ganglia) (initially lungs)
- Epstein-Barr–B-Cells and Epithelial (also IS oncogenic)
- Cytomegalovirus–Salivary glands (latent in lymphocytes)
- HHV8! - unknown and IS oncogenic
HSV lesions
two forms
*(2)
Primary and Secondary/recurrent
Can be self-limiting and controls the disease
HSV severity increased due to______
Immunocompromised!
Two names for recurrent/secondary HSV lesions (layman terms)
Cold sores
Fever Blisters
Pathogenesis (5 steps)
- Host (seroneg)
- Primary disease (primary herpetic gingivostomatitis)
- Host (seropos) LATENT in trigem gang
- Reactivation (cold, dry, hot, sun)
- Secondary disease (cold sores, fever blisters)
Transmission of HSV
ONLY BY DIRECT CONTACT, no aerosols
Primary/Overt HSV (% of cases? and AGE)
- Symptoms (3)
- Oral symptoms (2)
1% of cases, AGE: usually children
Fever, malaise, lymphadenopathy (classic viral symptoms)
- Oral and perioral vesicles, rupture -> ulcers
- *****can occur on ANY surface (i assume oral)
Secondary HSV
- Age
- Causes of symptoms
- Symptoms (3 locations of lesions)
Age: Any
Causes: stress, cold, sunlight, immunocompromised
Symptoms: Vesicles/ulcers on 1. Lips, 2. Palate, and 3. Gingiva.
Description of pain for HSV lesions: _____ and ______ PAIN!!!!
Tingling and burning
