Appendix 1- pictures: colors of oral path Flashcards

(65 cards)

1
Q
A

normal color

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2
Q

excessively WHITE lesions are secondary to what 3 things

A
  • A thickening of the epithelial covering: Hyperkeratosis, Acanthosis, Dysplasia, Carcinoma.
  • An decreased vascularity: Anemia
  • An increased collagen content of the subepithelial tissue: Submucous Fibrosis
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3
Q

Excessively RED lesions are secondary to what 3 tings

A
  • A thinning of the epithelial covering.
  • An increased vascularity
  • A dissolution of the collagen content of the subepithelial tissue.
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4
Q

excessively BLUE lesions are secondary to

A

Venous blood collection as opposed to the red of arterial blood collection.

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5
Q

excessively BLACK lesions are secondary to what 2 tings

A

1) melanin
2) heavy metals: amalgam, iron, bismuth

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6
Q

excessively BROWN lesions are secondary to

A

Hemosiderin: a yellowish brown granular pigment formed by breakdown of hemoglobin, found in phagocytes and in tissues especially in disturbances of iron metabolism (hemochromatosis, hemosiderosis) and composed essentially of colloidal ferric oxide

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7
Q

Excessively YELLOW lesions are secondary to what 3 things

A

Adipose tissue as noted in the soft palate with submucosal fat or in a lipoma.

Sebaceous material (skin oil) as noted in Fordyce granules.

Pus as it is a collection of necrotic material, PMNs, and lymphocytes.

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8
Q

most common colors found abnormally in the oral cavity

A

Most Common: WHITE

2nd Most Common: RED

3rd Most Common: BLACK

4th Most Common: BLUE

5th Most Common: YELLOW

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9
Q
A
  1. Materia Alba
  2. White coated tongue
  3. Burn (thermal, chemical, cotton roll, etc.)
  4. Toothpaste or mouthwash overdose
  5. Pseudomembranous candidiasis
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10
Q
A

leukoplakia

tx: bx

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11
Q

name it and treat it

A

materia alba (soft tissue plaque/calculus)

tx: proper oral hygiene

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12
Q

name it and treat it

A

white coated tongue

tx: tongue scraping/brushing

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13
Q

5 white lesions that CAN be scraped, rubbed, or pulled off

A

1) Materia Alba
2) White coated tongue
3) Burn (thermal, chemical, cotton roll, etc.)
4) Toothpaste or mouthwash overdose
5) Pseudomembranous candidiasis

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14
Q

name it and treat it

A

Aspirin burn

Tx: discontinuance of A.S.A. application.

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15
Q

name it and treat it

A

Aspirin burn

Tx: discontinuance of A.S.A. application.

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16
Q

name it

A

pizza burn

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17
Q
A

cotton role burn

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18
Q

name/treat

A

pseudomembranous candidiasis

tx: antifungals

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19
Q

name/treat

A

pseudomembranous candidiasis/trush

tx: antifungals

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20
Q

name/treat

A

pseudomembranous candidiasis - burning itching mouth

tx: antifungals

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21
Q

name/treat

A

pseudomembranous candidiasis on top of AML

tx: antifungals

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22
Q

dx histo for…

A

Candidiasis

hyphae @ 90 degrees

other ways to dx candidiasis: Culture- sabouraud’s media, Cytology smear, bx

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23
Q

8 WHITE plaques that do NOT rub off and their Tx’s

A
  1. LEUKOPLAKIA: Biopsy
  2. LINEA ALBA: None
  3. LEUKOEDEMA: None
  4. CHRONIC CHEEK CHEWING: Bite guard
  5. NICOTINE STOMATITIS: D/C 6.ORAL HAIRY LEUKOPLAKIA: Treat AIDS
  6. TOBACCO POUCH KERATOSIS: D/C
  7. LICHEN PLANUS: Steroids
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24
Q

name it and tx

A

Leukoplakia - hyperkeratosis

tx: bx

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25
name/tx
leukoplakia- dysplasia tx: bx
26
name/tx
leukoplakia- carcinoma in situ tx: bx
27
name/tx
leukoplakia- SCC tx: bx
28
name/tx
linea alba tx: none
29
name/tx
leukoedema tx: none
30
name/tx
leukoedema tx: none
31
name/tx
linea alba + cheek chewing tx: none
32
name/tx
CHRONIC CHEEK BITING Morsicatio buccarum, labiorum, linguarum Treatment: none or bite guard
33
name/tx
CHRONIC CHEEK BITING Morsicatio buccarum, labiorum, linguarum Treatment: none or bite guard
34
name/tx
nicotine stomatitis tx: stop smoking
35
name/tx
nicotine stomatitis tx: stop smoking
36
name/tx
ORAL HAIRY LEUKOPLAKIA Tx underlying AIDS
37
name/tx
ORAL HAIRY LEUKOPLAKIA Tx underlying AIDS
38
name/tx
tobacco pouch keratosis tx: stop dipping
39
name
TOBACCO POUCH KERATOSIS can progress to VERRUCOUS CARCINOMA
40
name/tx
Lichen planus tx: systemic steroids 4Ps for skin LP: pruritic, purple, polygonal, papules
41
name/tx
Lichen planus tx: systemic steroids
42
name/tx
Lichen planus tx: systemic steroids left: reticular right: erosive
43
name/tx
Lichen planus- oral tx: systemic steroids
44
name/tx
Lichen planus tx: systemic steroids
45
name 5 Red AND White Lesions
1. TRAUMATIC ULCER 2. PERICORNITIS 3. ACUTE NECROTIZING ULCERATIVE GINGIVITIS (ANUG) 4. RECURRENT APHTHOUS ULCERS 5. GEOGRAPHIC TONGUE
46
name/tx
traumatic ulcer tx: none
47
name/tx
Pericoronitis Tx: none/remove tooth
48
name/tx
ANUG tx: SRP, Abs, OHI
49
name/tx
RAU: inflammatory ulcer Tx: Steroids & Antibiotics
50
name/tx
RAU tx: steroids + Abs Location + Size + Number = Diagnosis of R.A.U.
51
name/tx
Geographic tongue tx: none
52
name/tx
Geographic tongue tx: none
53
name/tx
Geographic tongue tx: none
54
1. ERYTHEMATOUS CANDIDIASIS 2. ANGULAR CHEILITIS 3. LINGUAL TONSIL 4. HEMANGIOMA 5. ERYTHROPLAKIA
55
1. White Pseudomembranous 2. Red Erythematous 3. Central Papillary Atrophy of tongue 4. Angular Cheilitis 5. Denture Stomatitis 6. Mucocutaneous
56
name/tx
Candidiasis tx: antifungals
57
name/tx
ANGULAR CHEILITIS Treatment: antifungals, increase the vertical dimension
58
name/tx
ANGULAR CHEILITIS Treatment: antifungals, increase the vertical dimension
59
ANGULAR CHEILITIS Treatment: antifungals, increase the vertical dimension
60
LINGUAL TONSIL: Lymphoid Hyperplasia: Reactive Lymphoid Aggregate Treatment: none
61
HEMANGIOMA Treatment - surgery, laser, embolization
62
HEMANGIOMA- Sturge Weber Treatment - surgery, laser, embolization
63
hemangioma
64
erythroplakia tx: excision
65
1. RACIAL PIGMENTATION 2. AMALGAM TATTOO 3. ORAL MELANOTIC MACULE 4. NEVUS 5. MELANOMA 6. BLACK HAIRY TONGUE