Principles of Soft Tissue Differential Diagnosis Flashcards

1
Q

what patient factors contribute to diff dx

A
  • age, gender, race
  • current medical condition and meds
  • supplements
  • social hx
  • oral habits
  • past med history
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2
Q

what should you do for white lesions

A
  • wipe first
  • sources of friction
  • chemicals
  • heat
  • alter environment and re-evaluate
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3
Q

white lesions are mostly _____ lesions

A

low risk

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4
Q

what should be considered for red lesions

A
  • diascopy
  • location
  • habits
  • trauma
  • medical history - coagulation
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5
Q

what should you consider for red/white lesions

A
  • social history
  • tooth paste/floss
  • mouth wash
  • candies, gums, mints, tic tacs, lozenges
  • herbal supplements
  • oral habits
  • changes in medicines
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6
Q

what should you consider for pigmented lesions

A
  • number
  • size
  • onset
  • distribution
  • borders
  • locations
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7
Q

what should you consider for ulcers

A
  • numbers
  • size
  • onset
  • frequency/duration
  • location
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8
Q

when describing the lesion what do you describe

A
  • size
    -shape
  • color
  • borders
  • texture
  • consistency
  • location
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9
Q

what is a vesicel

A

a small elevated lesion usually less than 1cm in diameter, usually containing serous fluid

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10
Q

what is a bulla

A

elevated lesion that is around 1 cm in diameter, usually contains serous fluid

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11
Q

what is a pustule

A

various sized elevated lesion containing pus

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12
Q

what is a macule

A

area that is distinguished by a color different from that of the surrounding tissue
- flat

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13
Q

what is a papule

A

a small lesion less than 1cm in diameter that is elevated

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14
Q

what is a nodule

A

a lesion greater than 1 cm in diameter that is elevated

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15
Q

what is pedunculated

A

attached by a stem like to stalk base

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16
Q

what is sessile

A

the base of a lesion is flat stem- like

17
Q

what is an ulcer

A

a loss of continuity of the epithelium that penetrates to the underlying connective tissue

18
Q

what is a plaque

A

a patch or differentiated area on a body surface

19
Q

what does corrugated mean

A

wrinkled

20
Q

what is a fissure

A

cleft or groove, normal otherwise, showing prominent depth

21
Q

what is papillary

A

resembling small nipple- shaped projections or elevations found in clusters

22
Q

if you are describing a lesion as smooth, rough or folded what part of the lesion are you describing

A

surface texture

23
Q
A