Week 0.5 Flashcards

1
Q

Papule

A

Raised lesion
Any color
Less than 5mm

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2
Q

Nodule

A

Solid, raised lesion
Any color
Greater than 5mm

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3
Q

Tumor/mass

A

Solid, raised mass
any color
Greater than 1cm

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4
Q

Sessile

(3 terms) and description

A

Papule/nodule or mass

*Base wider than apex

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5
Q

Pedunculated

(3 terms) and Description

A

Papule, nodule or tumor/mass

*has a stalk!

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6
Q

Verrucous

A

Warty, rough surface

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7
Q

Vesicle

A

Fluid filled! Elevation
any color
less than 5mm

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8
Q

Bulla

A

Fluid filled! Elevation
any color
Greater than 5mm

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9
Q

Ulcer
Description
-*Due to:

A

Discontinuous surface mucosa

*due to microscopic death of cells

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10
Q

Erosion

A

Superficial loss of epithelium

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11
Q

Erosion of Buccal mucosa

layer lost

A

Layer lost: Stratum Lucidum

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12
Q

Erosion of Gingival mucosa

layer lost

A

Layer lost: Stratum corneum

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13
Q

Fissure

A

Narrow, slit

**Ulceration or groove

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14
Q

Plaque/patch

A

FLAT TOPPED elevated area

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15
Q

Petechia

A

ROUND

pinpoint area of hemorrhage

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16
Q

Ecchymosis

A

Non-ELEVATED

area of hemorrhage larger than petechia

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17
Q

Telangiectasia

A

vascular lesion caused by dilation of small, superficial blood vessel

18
Q

Sinus/fistula

-non suppurating

A

Hollow passage
Between tubular organ and outside body
OR
Between two tubular organs

19
Q

Sinus/fistula

-suppurating

A

Suppurating CAVITY TRACT (cyst or abscess)

TO: surface mucosa

20
Q

Cyst

A

PATHOLOGIC epithelium lined cavity filled with liquid or semi-solid

21
Q

Two types of clinical features

A

Symptoms and Signs

22
Q

Signs

A

Detected by DR examiation

23
Q

Symptoms

A

Complaints of the patients

24
Q

Macule

A

FLAT area
odd color
usually 1cm or smaller

25
Q

3 General! Types of Vesiculobullous ulcerative diseases

A
  1. Hereditary
  2. Viral
  3. Immunologic (autoimmune)
26
Q

1 Hereditary type of Vesiculobullous ulcerative disease

A

Epidermolysis bullosa

27
Q

5 types of viral vesiculobullous

A
    1. Herpes Simplex AND
    1. Varicella-Zoster
      1. Hand foot and mouth
      2. Herpangina
      3. Measles
28
Q

3 immunologic diseases

A
  1. Pemphigus Vulgaris
    * 2. Mucous membrane Pemphigoid
  2. Bullous pemphigoid
29
Q

Mucocele

3

A

*unbroken vesicle (swelling from glands IN connective tissue)
no pain
Filled with mucin

30
Q

Acute lesions

A

Pain
Recent
Fever/malaise/other systemic symptoms

31
Q

Vesicle with erosion and ulceration

A
Chronic (1 yr)
Pain on eating
Not systemic
Bleeding gums
Dr. gave antibiotic w/ no change
32
Q

6 herpetic infections and tissues involved

A
  1. HSV1–Epithelial
  2. HSV2–Epithelial
  3. Varicella-Zoster–Nerve (trigeminal ganglia) (initially lungs)
  4. Epstein-Barr–B-Cells and Epithelial (also IS oncogenic)
  5. Cytomegalovirus–Salivary glands (latent in lymphocytes)
  6. HHV8! - unknown and IS oncogenic
33
Q

HSV lesions
two forms
*(2)

A

Primary and Secondary/recurrent

Can be self-limiting and controls the disease

34
Q

HSV severity increased due to______

A

Immunocompromised!

35
Q

Two names for recurrent/secondary HSV lesions (layman terms)

A

Cold sores

Fever Blisters

36
Q

Pathogenesis (5 steps)

A
  1. Host (seroneg)
  2. Primary disease (primary herpetic gingivostomatitis)
  3. Host (seropos) LATENT in trigem gang
  4. Reactivation (cold, dry, hot, sun)
  5. Secondary disease (cold sores, fever blisters)
37
Q

Transmission of HSV

A

ONLY BY DIRECT CONTACT, no aerosols

38
Q

Primary/Overt HSV (% of cases? and AGE)

  • Symptoms (3)
  • Oral symptoms (2)
A

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)
39
Q

Secondary HSV

  • Age
  • Causes of symptoms
  • Symptoms (3 locations of lesions)
A

Age: Any
Causes: stress, cold, sunlight, immunocompromised
Symptoms: Vesicles/ulcers on 1. Lips, 2. Palate, and 3. Gingiva.

40
Q

Description of pain for HSV lesions: _____ and ______ PAIN!!!!

A

Tingling and burning