week 2 Flashcards
General findings of oral cavity
dryness of mouth, gingiva, palate,breath
recurrent herpes labiallis
cold sore- blister ruptures, crusts and oozes
what are the prodromes for herpes labiallis
stinging, burning, itching in the area of breakout
reactivation triggers for herpes
STRESS, sun, hormones
carcinoma of the lips (SCC most common) SSx
painless, sharply bordered, plaque or wart like slow healing
mucocele features
blockage of salivary gland: cyst like bubble, moveable, may rupture
angular cheilitis features
deep cracks at the corner of the mouth, can become infected with candidas, KOH test for candidas
etiology of ang. cheilitis
loss of teeth, bad dentures, bad hygiene, sicca
mouth: mucosal lesions : Lichen Planus features
inside of cheeks, buccal region and gingiva: painless lace like white patches less likely to cause cancer
Leukoplakia feautures
white patches raised or flat, cannot be rubbed off, flaking white paint (white gray or yellow): precancerous hyperplasia
etiology of Leukoplakia
HIV, vit deficiency, oral sepsis, alcoholism
Erythroplakia features
red macule, well demarcated on floor of mouth: precancerous
SCC features
firm, affixed, hard lesions mostly on floor of mouth: first sign might be a non-tender mass in the neck
melanoma features
pigmented lesions scary ABCD- lesions will not blanch
Fordyce’s spots
benign granual like lesions from sebacious glands: do not wipe off mostly on the border of the mouth
stomatitis
inflammation of oral tissue that is secondary
etiology of stomatitis
leukemia, chemicals, alcohol, allergy
Mouth: oral candidias features
soft white plaques that bleed when wiped away, major risk factor: immunocompromised people
aphthous stomatitis SSX
acute painful ulcerations occur on non-keratinized mucos.. possible t cell mediated
aphthous stomatitis etiology
HIV, stress, hormones, food allergies
3 types of aphthous ulcers
minor, major, herpetiform
minor, major, herpetiform
solitary, shallow, red halo resolves in a week-starts in childhood
ragged edges, painful, lasts up to 6 weeks develop after puberty
small pinpoint ulcers starts in adulthood lasts for a month
oral erythema multiforme SSX
Bullae rupture painful -that forms crusts- hemmorrhagic vessicles
oral erythema multiforme prodrome
rhinitus, sinitus
chancre SSX
painless lesions that are primary form a syphilis- possible genital spreading
angioedema SSX (allergy)
swelling, acute non-pitting edema, throat, nose
hereditary angioedema
not itchy, more painful, precipitated by stress, trauma
mandibular torus SSX
non-neoplastic bone formation
hemangioma SSX
raised or flat proliferation of blood vessels- congenital
because of location secondary infection is possible
varicosities SSX
tortuous swollen blue veins on ventral aspect of the tongue
blanche when pressed on