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8: injury Flashcards

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1
Q

TUGSE spell out

A

traumatic ulcerative granuloma with stromal eosinophilia

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2
Q

TUGSE in infants

A

riga fede

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3
Q

riga fede histo

A

TUGSE

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4
Q

TUGSE unrelated to trauma

A

atypical histiocytic granuloma

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5
Q

atypical histiocytic granuloma histo

A

TUGSE but not related to trauma

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6
Q

riga fede syndromes

A

Riley-Day, indifference to pain, Lesch-Nyhan, Gaucher, cerebral palsy, Tourette

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7
Q

cotton roll stomatitis how does it come about

A

cotton roll strips epithelium or absorbs chemicals that damage mucosa

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8
Q

coagulative necrosis histo

A

outlines of cells and nuclei

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9
Q

outlines of cells and nuclei on histo

A

coagulative necrosis

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10
Q

BRONJ offenders

A

pamidronate and zoledronic acid

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11
Q

sensation of insects crawling on skin: name and why

A

parasitosis/formication
sensation of insects crawling on skin
methamphetamine users

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12
Q

trauma from trying to remove hallucinatory insects with meth

A

speed bumps/meth sores/crank bugs

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13
Q

exfoliative cheilitis from chronic injury

A

factitious cheilitis

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14
Q

burton’s line

A

gingival blue line in lead intoxication

similar with silver and bismuth

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15
Q

gingival blue line in lead intoxication

what other metals

A

burton’s line

also silver and bismuth

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16
Q

chronic mercury intoxication aka and what

A

acrodynia aka swift disease, pink disease

cold hands, feet, nose, ear, irritability

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17
Q

acrodynia what and aka

A

chronic mercury intoxication
aka swift disease, pink disease
cold hands, feet, nose, ear, irritability

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18
Q

chronic silver intoxication

A

argyria

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19
Q

arsenical keratosis what’s special

A

premalignant

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20
Q

after topical gold therapy

A

chryasis: blue discoloration of skin

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21
Q

chryasis

A

blue discoloration of skin after gold therapy

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22
Q

cutright lesion histologically

A

reactive osseous and chondromatous metaplsia

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23
Q

air inside parotid

A

pneumoparotid

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24
Q

hamman’s crunch

A

crepitus synchronous with heartbeat in cervicofacial emphysema involving mediastinum

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25
crepitus synchronous with heartbeat -- name and condition
hamman's crunch, cervicofacial emphysema
26
TUGSE without trauma: histo variants
sheets of large atypical cells | histiocutes (atypical histiocytic granuloma) or T lymphocyes (oral CD30+ lymphoproliferative disorder)
27
major complication in electrical burn
contracture of mouth opening during healing
28
chemical injuries agents
aspirin, hydrogen peroxide, silver nitrate, phenol, endo materials
29
chemical injuries histo
coagulative necrosis
30
phase of cell cycle most susceptible to radiation
M phase
31
phase of cell cycle least susceptible to radiation
S phase
32
cytoreductive therapy purpose
therapy to debulk or reduce the size of a cancerous tumor
33
chemotherapy injury presentation
mucositis and hemorrhage 2/2 thrombocytopenia due to bone marrow suppression
34
radiation therapy injury presentation
mucositis and dermatitis | xerostomia, hypogeusia, ORN, trsmis, tooth anomalies
35
radiation caries where
cervical part of tooth
36
bisphosphonate-associated osteonecrosis which drugs
2nd gen, 12y half life | 95% of cases pamidronate and zoledronic acid (IV formulation) for cancer (multiple myeloma)
37
bisphosphonates used for
pagets, osteoporosis, bone cancers
38
possible serum marker for BRONJ
c-telopeptide (CTX)
39
antiresorptive agent infuced ONJ which drigs
denosumab and cathepsin K inhibitors (for osteoporosis) following surgery
40
IV bisphosphonates
pamidronate, zoledronic acid
41
meth effect on dentition and why
rampant caries similar to milk-bottle caries 2/2 xerostomia and heavy intake of sugary drinks
42
anesthetic necrosis location
most on hard palate
43
persistent scaling/flaking of vermilion border of lips
exfoliative cheilitis
44
causes of exfoliative cheilitis
contact dermatitis, allergic contact stomatitis, atopic eczema
45
candidiasis of lips in areas of low grade trauma
cheilocandidiassis
46
crusting and erythema of skin surface adjacent to lips
circumoral dermatitis
47
submucosal hemorrhage by size
petecchiae (minute), purpura (larger), ecchymosis (>2cm(, hematoma (mass, blunt traums)
48
nontraumatic submucosal hemorrhage causes
blood dyscrasias, infections (measles, mono), meds
49
FOM hemorrhage causes
implant placement, sever HTN, coagulopathy
50
anthral hematoma cause
intranasal hemorrhage
51
most common oral change with fellatio
palatal hemorrhage with negative pressure
52
ulceration/fibrosis of lingual frenum ask about what?
sexual practices: cunnilingus
53
localized exogenous pigmentations
amalgam tattoo | graphite implantation
54
graphite implantation histo
birefringent after tx with ammonium sulfude | doesn't stain reticulin fibers
55
forked tongue body mod
anterior 1/3 of tongue is split
56
susuk what is
charm needles/pins, seen on xray
57
barbell bs labret
barbell two balls -- usually tongue | labret one flat end -- lip piercing usually
58
most common complications of piercings
gingival recession and tooth ffracture
59
common source of lead for children
water, paint -- plumbism
60
chronic silver intox name
generalized argyria -- eg from silver nitrate chronically used for aphthaem denture sores, gingival hemorrhage
61
lead poisoning manifests in mouth
ulcerative stomatitis, Burton's line, tongue tremor, perio dz, silaorrhea, discoloration, metallic taste
62
burton's line what is and why
gingival blue line lead poisoning action of bacterial HS on lead
63
mercury posioning manifests in mouth
metallic taste, ulcerative stomatitis, discoloration, tooth exfoliation, enlargement of salivary glands, gingiva and tongue
64
acrodynia aka
swift dz, pink dz | chroni mercury intoxication
65
names for chronic mercury intoxication
swift dz, pink dz, acrodynia
66
acrodynia manifestations extraoral
cold hands, feet, nose, ears, irritability | pruritic rasj, severe sweating, excessive slaivation
67
bismuth in mouth
black hairy tongue | no elongated papilla
68
black hairy tongue cause
bismuth
69
blue-gray skin, burton's line -- consider what other than lead
silver and bismuth also
70
palmar plantar keratosis which metal poisoning
arsenic
71
arsenic extraoral manifestation
palmar plantar keratosis
72
which metal can cause premalignant skin lesions
arsenical keratosis
73
gold poisoning manifestations of interest
``` dermatitis preceded by pruritus oral mucositis (allergic reaction) ```
74
chryasis what is
blue discoloration of sun exposed skin after gold therapy
75
blue discoloration of skin after gold therapy
chryasis
76
smoker's melanosis where and why
melanin is protective against smoke substance | most in anterior gingiva
77
drug related discolorations of oral mucosa why
melanocyte induction or deposition of drig metabolites
78
phenolphthalein what kind and what manifestations
laxative | numerous small well demarcated skin lesions (also oral)
79
minocycline manifestations
bone (band above attached gingiva and hard palate) and teeth
80
tranquilizers and antimalarials manifestations
blue black discoloration limited to hard palate
81
estrogen, AIDS drigs manifestations
diffuse brown melanosis, gingiva and buccal mucosa
82
diffuse brown melanosis, mostly gingiva and buccal mucosa -- which drugs
estrogen, AIDS meds
83
blue black discoloration of hard palate which drugs
tranquilizers, antimalarials, imatinib i guess
84
reactive osseous and chondromatous metaplasia aka and where
Cutright lesion true cutrigh in post mand alveolar ridge rarely MX or ant MD also due to trauma from denture (usually knife edge like crest)
85
what can cause oral ulceration with bone sequestration where usually?
previous trauma or aphthae that cause osteitis and necrosis usually lingual surface of posterior mandible or exostosis
86
dome shaped radiopacity of sinus floor -- what is and why happens
dome shaped radiopacity of sinus floor accumulation of serum below sinus lining 2/2 odontogenic infection or allergy dome shaped mass (no bone erosion)
87
accumulation of mucin in sinus what is and how manifests
sinus mucocele | portion of sinus is separated from main body
88
types of sinus mucoceles
surgical ciliated cyst )after surgery, usually Caldwell-Luc or 3rd molar) or sinus ostium blockage
89
retention cyst -- why, what is
partial blockage of gland duct or invagination of respiratory epithelium mucin surrounded by epithelium, 2ithout extravasation most associated with polyps and not evident clinically
90
sinus mucocele lined by
true epithelium
91
introductino of air into subcutaneous or facial spaces
cervicofacial emphysema
92
causes of cervicefacial emphysema
compressed air, difficult extractions, intra-oral pressure, idiopathis
93
cervicofacial emphysema vs angioedema
crepitus (carcking) on palpation in emphysema
94
pneumoparotid manifest
air insife parotid | saliva is frothy and air filled, instead of waterlike
95
how soon does cervicofacial emphysema develop
90% during surgery or within 1 hour | delayed onset -- induced by patient
96
hamman's crunch what is
crepitus synchronous with heartbeat | emphysema with mediastinal involvement (pneumomediastinum)
97
crepitus synchronous with heartbeat
hamman's crunch | emphysema with mediastinal involvement (pneumomediastinum)
98
pneumomediastinum sign
hamman's crunch | crepitus synchronous with heartbeat
99
myospherulosis what is
form of lipogranuloma | placement of Abx (tetracycline) in a petrolatum base into surgery site
100
placement of Abx (tetracycline) in a petrolatum base into surgery site
myospherulosis
101
oral myospherulosis where
exo site to prevent alveolar osteitis, mostly md
102
myospherulosis histo
cyst-like spaces with numerous brown to black spherules -- RBCs altered by medication
103
danger of myospherulosis in sinus
can become contaminated by fungus (zygomycetes and aspergillus)
104
bag of marbles myospherulosis
spherules surrounded by outer/parent body membrane
105
spherules surrounded by outer/parent body membrane
bag of marbles myospherulosis
106
infantile variant of TUGSE
riga fede - sublingual, 2/2 neonatal teeth
107
hemepath poss associated with TUGSE
primary cutaneous CD30+ lymphoproliferative disorder
108
define osteoradionecrosis
exposed irradiated nonvital bone >3m in the absence of neoplastic disease
109
how soon after radiation would osteoradionecrosis happen
most between 4m and 3 yrs
110
dose for osteoradionecrosis
>60Gy
111
location for osteoradionecrosis
md 24x more
112
half life of bisphosphonates
>10yrs
113
affinity for bisphosph in bone ccells
clasts 8x > blasts 4x > cytes
114
insects crawling name and drug
parasitosis (formication) -- meth
115
nasal collapse which drug and name
Cocaine induced midline destructive lesion
116
secindary cadida with low grade trauma to vermilion
cheilocandidiasis
117
lead poisoning aka
plumbism
118
bluish line along gingival margins metal
``` burton line (lead) also with silver ```
119
erethism
neuro symptoms with mercury poisoning (mad hatter)
120
neuro symptoms with mercury poisoning
erethism
121
chronic mercury exposure in children aka
acrodynia, pink disease, swift-feer disease
122
argyria
silver intoxication, blue line along gingival margin
123
silver intoxication
argyria
124
localized argyria aka
amalgam tattoo
125
gangrene in arsenic
blackfoot disease
126
blackfoot disease
gangrene with arsenic
127
gold toxicity
pruritus and dermatitis
128
lead poisoning signs
``` abd pain encephalopathy Renal dysfunction Fatigue/irritability Anemia Kidney/bone/joints ``` burton line plumbiam
129
``` abd pain encephalopathy Renal dysfunction Fatigue/irritability Anemia Kidney/bone/joints ``` which poisoning
lead poisoning
130
mercury poisoning signs
``` Abd.Pain Vomiting / diarrhea HBP Neuro Desquamative fingers/soles ``` ACRODYNIA ERETHISM
131
``` Abd.Pain Vomiting / diarrhea HBP Neuro Desquamative fingers/soles ``` which poisoning
mercury poisoning
132
silver poisoning signs
Pleural edema Hemolysis BM failure Liver/kidney/lung ARGYRIA
133
Pleural edema Hemolysis BM failure Liver/kidney/lung which poisoning
silver poisoning
134
arsenic poisoning signs
``` Gangrene Amputation Hyperpigmentation of neck/armpits Hyperkeratosis ``` MEES LINES BLACK FOOT DISEASE
135
MEES LINES
arsenic
136
``` Gangrene Amputation Hyperpigmentation of neck/armpits Hyperkeratosis ``` which poisoning
arsenic
137
methemoglobinemia which metal poisoning
bismuth
138
gold poisoning
Oral mucositis Dermatitis Pruritis CHRYSIASIS
139
Oral mucositis Dermatitis Pruritis which metal poisoning
gold
140
cutright lesion
Reactive osseous and chondromatosis metaplasia. Flabby tissue on alveolar ridge due to denture
141
Reactive osseous and chondromatosis metaplasia. Flabby tissue on alveolar ridge due to denture
cutright lesion

OP - Yield (19 decks)

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