common oral ds clinical photos exam 1 Flashcards

Question

clinical presentation: - well circumscribed ulcer - keratotic halo/border - pt has some trauma - not hard/enderated when palated - on ventral area of the tongue what is it?

Answer 1

traumatic ulcer

Answer 2

**traumatic ulcer.** - it is located on a mucosal site that is easily traumatized (ventral area of the tongue) - montior if the ulcer has been there for more than 2 weeks, get a biopsy to see if it is cancerous. But biopsy can also help the area heal faster.

Answer 3

traumatic ulcer. - it is located on a mucosal site that is easily traumatized (ventral/lateral area of the tongue) - montior if the ulcer has been there for more than 2 weeks, get a biopsy to see if it is cancerous. But biopsy can also help the area heal faster.

Answer 4

traumatic ulcer. - it is located on a mucosal site that is easily traumatized (mandibular vestibule) - montior if the ulcer has been there for more than 2 weeks, get a biopsy to see if it is cancerous. But biopsy can also help the area heal faster.

Answer 5

traumatic ulcer. - it is located on a mucosal site that is easily traumatized (ventral area of the tongue) - montior if the ulcer has been there for more than 2 weeks, get a biopsy to see if it is cancerous. But biopsy can also help the area heal faster. BUT SUSPICIOUS. **why? there are raised borders, central area of ulceration, you want to palpate and make sure it is not endurated/hard. It if IS, then this can be more of a cancerous lesion than a traumatic one.**

Answer 6

cancer. ## Footnote why? raised borders Central area of ulceration Want to palpate to make sure not enderated/hard or else could be cancer

Answer 7

**mucocele.** - the most common lesion associated with the lower lip and salivary gland. - Mucosal color or bluish nodule color - Ares that are easily traumatized: Lower lip (THE MOST COMMON LOCATION) and Sublingual gland with ranula.

Answer 8

**mucocele- ranula** - the most common lesion associated with the lower lip and salivary gland. - Mucosal color or bluish nodule color - Ares that are easily traumatized: Lower lip (THE MOST COMMON LOCATION) and **Sublingual gland with ranula.**

Answer 9

**traumatic (irritation) fibroma** **-** its the most common "tumor" of the oral cavity - Not a true neoplasm of fibroblasts - a reactive lesion rather than a true neoplasm. So it occurs when there is a constant source of trauma or irritation. - Areas that are easily traumatized -Buccal mucosa, Easy to bite areas, Repeated biting - it is a **Mucosal color bump** but Could have a white covering over the lesion due to thickened keratin layer from repeated episodes from biting

Answer 10

**traumatic (irritation) fibroma** - its the most common "tumor" of the oral cavity - Not a true neoplasm of fibroblasts - a **reactive lesion rather** than a true neoplasm. So it **occurs when there is a constant source of trauma or irritation. *here like right next to where the teeth occlude.*** - Areas that are easily traumatized -**Buccal mucosa, Easy to bite areas, Repeated biting** - it is a Mucosal color bump but Could **have a white covering over the lesion** due to thickened keratin layer from repeated episodes from biting

Answer 11

**traumatic (irritation) fibroma** - its the most common "tumor" of the oral cavity - Not a true neoplasm of fibroblasts - a reactive lesion rather than a true neoplasm. So it occurs when there is a **constant source of trauma or irritation**. - Areas that are easily traumatized -**Buccal mucosa, Easy to bite areas, Repeated biting** - it is a **Mucosal color bump** but Could have a white covering over the lesion due to thickened keratin layer from repeated episodes from biting

Answer 12

**traumatic (irritation) fibroma** - its the most common "tumor" of the oral cavity - Not a true neoplasm of fibroblasts - a reactive lesion rather than a true neoplasm. So it occurs when there is a constant source of trauma or irritation. - Areas that are easily traumatized -Buccal mucosa, Easy to bite areas, Repeated biting - it is a Mucosal color bump but Could have a white covering over the lesion due to thickened keratin layer from repeated episodes from biting

Answer 13

**giant cell fibroma** ## Footnote - Distinct from irritation fibroma - may not be associated with an identifiable source of chronic irritation and occurs at a younger age - Sometimes you can see it on L aspect of mand around C area. - Often exhibits a papillary surface and may be clinically mistaken for papilloma. **-Fibroblasts are nucleated**; this is NOT THE SAME as a multinucleated giant cell.

Answer 14

**giant cell fibroma** - Distinct from irritation fibroma - may **not be associated with an identifiable source of chronic irritation** and occurs at a younger age - Sometimes you can see it on L aspect of mand around C area. - Often exhibits a **papillary surface** and may be clinically mistaken for papilloma. **-Fibroblasts are nucleated;** this is NOT THE SAME as a multinucleated giant cell.

Answer 15

**giant cell fibroma** - Distinct from irritation fibroma - may not be associated with an identifiable source of chronic irritation and occurs at a younger age - Sometimes you can see it on L aspect of mand around C area. - Often exhibits a **papillary surface** and may be clinically mistaken for papilloma. **-Fibroblasts are nucleated;** this is NOT THE SAME as a multinucleated giant cell.

Answer 16

**giant cell fibroma** - Distinct from irritation fibroma - may not be associated with an identifiable source of chronic irritation and occurs at a younger age - Sometimes you can see it on L aspect of mand around C area. - Often exhibits a **papillary surface** and may be clinically mistaken for papilloma. **-Fibroblasts are nucleated;** this is NOT THE SAME as a multinucleated giant cell.

Answer 17

**Epulis fissuratum** - Aka inflammatory fibrous hyperplasia, denture injury tumor, ill fitting dentures, fibrous epulis, denture epulis - Has redundant fibrous tissue **-Associated with denture flange *can literally see where the denture would go*** -Tx: surgically excise it.

Answer 18

**Epulis fissuratum** Aka inflammatory fibrous hyperplasia, denture injury tumor, ill fitting dentures, fibrous epulis, denture epulis **Has redundant fibrous tissue** Associated with denture flange Tx: surgically excise it.

Answer 19

**Papillary hyperplasia/ inflammatory papillary hyperplasia** - Denture papillomatosis, Due to poor oral hygiene combined with ill-fitting prosthesis - seen mostly on the **palatal** - very red due to overlying infection, **papillary apperance.** - Tx: Surgical excision and correct prosthesis

Answer 20

**Papillary hyperplasia/ inflammatory papillary hyperplasia** - Denture papillomatosis, Due to poor oral hygiene combined with ill-fitting prosthesis - seen mostly on the **palatal** **-very red due to overlying infection,** papillary apperance. -Tx: Surgical excision and correct prosthesis

Answer 21

**Papillary hyperplasia/ inflammatory papillary hyperplasia** - Denture papillomatosis, Due to poor oral hygiene combined with ill-fitting prosthesis - seen mostly on the **palatal** **-very red due to overlying infection, papillary apperance.** -Tx: Surgical excision and correct prosthesis

Answer 22

**Papillary hyperplasia/ inflammatory papillary hyperplasia** - Denture papillomatosis, Due to poor oral hygiene combined with ill-fitting prosthesis - seen mostly on the **palatal** - **very red due to overlying infection, papillary apperance.** ***can see where the denture goes, posterior hard palate doesnt have any papillary hyperplasia.*** - Tx: Surgical excision and correct prosthesis

Answer 23

**Medication associated gingival enlargement** Enlargement begins in the interdental papillae and forms pseudopockets Non-specific clinical appearance Multiple drugs are synergistic Severity is related to patient susceptibility and local factors Medications Associated with Gingival Enlargement

Answer 24

1. **anticonvulsants DILACTIN - 50%** 2. Ca2+ channel blocker PROCARDIA (nifedipine) -25% 3. Immunosuppresant SANDIMMUNE (cyclosporin) - 25% Treatment: * Control local factors- anti-plaque agents (chlorhexidine) * Drug substitution * Drug therapy- folic acid, metronidazole, azithromycin * Surgical excision– gingivectomy

Answer 25

**Pyogenic granuloma** = A reactive vascular lesion- essentially a capillary hemangioma Definitie female predilection- vascular effects of hormones May exhibit rapid growth. Can look concerning but it is normal because it is a reactive condition. **Gingiva most common site, b**ut not limited to gingiva. It occurs throughout the body on any skin or mucosal surface

Answer 26

**Pyogenic granuloma** = A reactive vascular lesion- essentially a capillary hemangioma Definitie female predilection- vascular effects of hormones Name is a misnomer. It is unrelated to infection. It is not ‘pyogenic’ and is not a true granuloma it is actually endothelial hyperplasia May exhibit rapid growth. Can look concerning but it is normal because it is a reactive condition. **Gingiva most common site,** but not limited to gingiva. It occurs throughout the body on any skin or mucosal surface

Answer 27

**Pyogenic granuloma** = A reactive vascular lesion- essentially a capillary hemangioma Definitie female predilection- vascular effects of hormones Name is a misnomer. It is unrelated to infection. It is not ‘pyogenic’ and is not a true granuloma it is actually endothelial hyperplasia May exhibit rapid growth. Can look concerning but it is normal because it is a reactive condition. Gingiva most common site, but not limited to gingiva. It occurs throughout the body on any skin or mucosal surface

Answer 28

**Pyogenic granuloma** = A reactive vascular lesion- essentially a capillary hemangioma Definitie female predilection- vascular effects of hormones Name is a misnomer. It is unrelated to infection. It is not ‘pyogenic’ and is not a true granuloma it is actually endothelial hyperplasia May exhibit rapid growth. Can look concerning but it is normal because it is a reactive condition. Gingiva most common site, but not limited to gingiva. It occurs throughout the body on any skin or mucosal surface

Answer 29

**Pyogenic granuloma** = A reactive vascular lesion- essentially a capillary hemangioma Definitie female predilection- vascular effects of hormones Name is a misnomer. It is unrelated to infection. It is not ‘pyogenic’ and is not a true granuloma it is actually endothelial hyperplasia May exhibit rapid growth. **Can look concerning but it is normal because it is a reactive condition.** Gingiva most common site, but not limited to gingiva. It occurs throughout the body on any skin or mucosal surface

Answer 30

**Pyogenic granuloma** = A reactive vascular lesion- essentially a capillary hemangioma Definitie female predilection- vascular effects of hormones Name is a misnomer. It is unrelated to infection. It is not ‘pyogenic’ and is not a true granuloma it is actually endothelial hyperplasia May exhibit rapid growth. **Can look concerning but it is normal because it is a reactive condition. Here it is ulcerated.** Gingiva most common site, but not limited to gingiva. It occurs throughout the body on any skin or mucosal surface

Answer 31

**Pyogenic granuloma** = A reactive vascular lesion- essentially a capillary hemangioma Definitie female predilection- vascular effects of hormones Name is a misnomer. It is unrelated to infection. It is not ‘pyogenic’ and is not a true granuloma it is actually endothelial hyperplasia May exhibit rapid growth. Can look concerning but it is normal because it is a reactive condition. Gingiva most common site, but not limited to gingiva. **It occurs throughout the body on any skin or mucosal surface**

Answer 32

**Granuloma gravidarum Aka Pregnancy tumor** A clinical variant of pyogenic granuloma May involute without treatment post partum and undergo fibrous maturation Will go away once the mother delivers the baby. *Has that red - hematoma looking appearance to it, aside from it being a "bump on the gums"*

Answer 33

**Peripheral ossifying fibroma** Reactive lesion- not a neoplasm **Teenagers and young adults** Not related to central ossifying fibroma _OCCURS EXCLUSIVELY ON THE GINGIVA_ Fibrous hyperplasia with osseous metaplasia– may appear radio-opaque May recur May move teeth

Answer 34

**Peripheral ossifying fibroma** Reactive lesion- not a neoplasm Teenagers and young adults Not related to central ossifying fibroma _OCCURS EXCLUSIVELY ON THE GINGIVA_ Fibrous hyperplasia with osseous metaplasia– may appear radio-opaque May recur May move teeth

Answer 35

**Peripheral ossifying fibroma** Reactive lesion- not a neoplasm **Teenagers and young adults** Not related to central ossifying fibroma OCCURS EXCLUSIVELY ON THE GINGIVA Fibrous hyperplasia with osseous metaplasia– may appear radio-opaque May recur **May move teeth**

Answer 36

**Peripheral ossifying fibroma** Reactive lesion- not a neoplasm Teenagers and young adults Not related to central ossifying fibroma OCCURS EXCLUSIVELY ON THE GINGIVA Fibrous hyperplasia with osseous metaplasia– may appear radio-opaque May recur **May move teeth**

Answer 37

**Peripheral ossifying fibroma** Reactive lesion- not a neoplasm Teenagers and young adults Not related to central ossifying fibroma OCCURS EXCLUSIVELY ON THE GINGIVA Fibrous hyperplasia with osseous metaplasia– may appear radio-opaque May recur May move teeth

Answer 38

**Peripheral giant cell granuloma** Reactive lesion- not a neoplasm **Older adults** Occurs exclusively _on **gingiva** and edentulous alveolar ridge_ Contains hemosiderin– may be bluish-purple hemosiderin is a byproduct of RBC. May recur Absorption from the ulcer Lots! Of Multi-nucleated giant cell (microscope above)

Answer 39

**Peripheral giant cell granuloma** Reactive lesion- not a neoplasm **Older adults** Occurs exclusively on **gingiva** and edentulous alveolar ridge Contains hemosiderin– may be bluish-purple hemosiderin is a byproduct of RBC. May recur Absorption from the ulcer **Lots! Of Multi-nucleated giant cell**

Answer 40

**Peripheral giant cell granuloma** Reactive lesion- not a neoplasm Older adults Occurs exclusively on gingiva and **edentulous alveolar ridge** Contains hemosiderin– may be bluish-purple hemosiderin is a byproduct of RBC. May recur **Absorption from the ulcer *it is ulcerated on the pic*** **Lots! Of Multi-nucleated giant cell**

Answer 41

**Peripheral giant cell granuloma** Reactive lesion- not a neoplasm **Older adults** Occurs exclusively on gingiva and **edentulous alveolar ridge** **Contains hemosiderin– may be bluish-purple hemosiderin is a byproduct of RBC.** _May recur_ Absorption from the ulcer **Lots! Of Multi-nucleated giant cell (microscope above)**

Answer 42

**Human papilloma virus** - Has three types: squamous papilloma, verruca vulgaris, and condyloma acuminatum *to tell them apart you need pt hx.* HPV because: - fingerlike projections - papillary

Answer 43

**HPV - Squamous papilloma** Solitary lesion in adult Pedunculated, exophytic papule Numerous surface projections ***fingerlike projections*** **- whitish in color (has keratin)** can have one or several.

Answer 44

**HPV - Squamous papilloma** Solitary lesion in adult **Pedunculated, exophytic papule** **Numerous surface projections fingerlike projection**s **- whitish in color (has keratin)** **can have one or several.**

Answer 45

**HPV Verruca vulgaris aka “common warts”** **Skin of hands in children** Multiple, clustered lesions common **White, verrucoid surface or papillary appearance** **Autoinoculation of oral mucosa (hands → mouth)** HPV infection in immunocompromised hosts

Answer 46

**HPV- Verruca vulgaris aka “common warts”** Skin of hands in children Multiple, clustered lesions common **White, verrucoid surface or papillary appearance** **Autoinoculation of oral mucosa (hands → mouth)** HPV infection in immunocompromised hosts

Answer 47

**HPV Verruca vulgaris aka “common warts”** **Skin of hands in children** **Multiple, clustered lesions common** **White, verrucoid surface or papillary appearance** **Autoinoculation of oral mucosa (hands → mouth)** HPV infection in immunocompromised hosts

Answer 48

**HPV - Condyloma acuminatum** Venereal wart- **sexually- transmitted diease** how to distinguish from squamous papilloma and vulga vulgaris **multiple , clustered lesions common** **Sessile, pink exophytic mass, larger than squamous papilloma** Low risk sub-types 6 and 11 frequently found (vaccine)\< lip and broccoli appearance High risk-sub types 16 and 18 may also be present (high risk refers to the ability to become malignant)

Answer 49

**primary herpetic gingivostomatitis** Initial exposure to virus in an individual without immunity Generally occurs at **young age after physical contact with infected individual** Mostly subclinical disease- 80% of US population has antibodies to HSV Many times pt doesn’t know they have it but the 20% that is symptomatic do know. Flu- like illness with fever, malaise, arthralgia, and headache Cervical lymphadenopathy → causes asymmetry of facial profile. Seen in different types of mucosal surfaces.

Answer 50

**Primary herpetic gingivostomatitis** Initial exposure to virus in an individual without immunity Generally occurs at young age after physical contact with infected individual Mostly subclinical disease- 80% of US population has antibodies to HSV Many times pt doesn’t know they have it but the 20% that is symptomatic do know. Flu- like illness with fever, malaise, arthralgia, and headache Cervical lymphadenopathy → causes asymmetry of facial profile. **Seen in different types of mucosal surfaces.**

Answer 51

**Primary herpetic gingivostomatitis** Initial exposure to virus in an individual without immunity **Generally occurs at young age after physical contact with infected individual** Mostly subclinical disease- 80% of US population has antibodies to HSV Many times pt doesn’t know they have it but the 20% that is symptomatic do know. **Flu- like illness with fever, malaise, arthralgia, and headache** Cervical lymphadenopathy → causes asymmetry of facial profile. **Seen in different types of mucosal surfaces.**

Answer 52

**Primary herpetic gingivostomatitis** Initial exposure to virus in an individual without immunity **Generally occurs at young age after physical contact with infected individual** Mostly subclinical disease- 80% of US population has antibodies to HSV Many times pt doesn’t know they have it but the 20% that is symptomatic do know. Flu- like illness with fever, malaise, arthralgia, and headache **Cervical lymphadenopathy → causes asymmetry of facial profile.** **Seen in different types of mucosal surfaces.**

Answer 53

**Primary herpetic gingivostomatitis** Initial exposure to virus in an individual without immunity Generally occurs at young age after physical contact with infected individual Mostly subclinical disease- 80% of US population has antibodies to HSV Many times pt doesn’t know they have it but the 20% that is symptomatic do know. Flu- like illness with fever, malaise, arthralgia, and headache **Cervical lymphadenopathy → causes asymmetry of facial profile.** Seen in different types of mucosal surfaces.

Answer 54

**Primary herpetic gingivostomatitis** Initial exposure to virus in an individual without immunity Generally occurs at young age after physical contact with infected individual Mostly subclinical disease- 80% of US population has antibodies to HSV Many times pt doesn’t know they have it but the 20% that is symptomatic do know. Flu- like illness with fever, malaise, arthralgia, and headache Cervical lymphadenopathy → causes asymmetry of facial profile. **Seen in different types of mucosal surfaces.**

Answer 55

**Primary herpetic gingivostomatitis** Initial exposure to virus in an individual without immunity Generally occurs at young age after physical contact with infected individual Mostly subclinical disease- 80% of US population has antibodies to HSV Many times pt doesn’t know they have it but the 20% that is symptomatic do know. Flu- like illness with fever, malaise, arthralgia, and headache Cervical lymphadenopathy → causes asymmetry of facial profile. **Seen in different types of mucosal surfaces. *seen in the buccal mucosa AND the tongue too.***

Answer 56

**Secondary herpes simplex infection- recurrent herpes labialis.** Resides in the trigeminal ganglion dormant When reactivated goes on the distribution of the trigeminal nerve. **Aka fever blisters** Can be intra or extra oral lesions

Answer 57

**Secondary herpes simplex infection- ulcerated** Resides in the trigeminal ganglion dormant When reactivated goes on the distribution of the trigeminal nerve. Aka fever blisters Can be intra or extra oral lesions

Answer 58

**Secondary herpes simplex infection** Resides in the trigeminal ganglion dormant When reactivated goes on the distribution of the trigeminal nerve. Aka fever blisters Can be intra or **extra oral lesions**

Answer 59

**Secondary herpes simplex infection -*here we see at top and bottom "kising lesion"*** Resides in the trigeminal ganglion dormant When reactivated goes on the distribution of the trigeminal nerve. Aka fever blisters Can be intra or extra oral lesions

Answer 60

**Secondary herpes simplex infection- recurrent INTRoral lesion at palate** Resides in the trigeminal ganglion dormant When reactivated goes on the distribution of the trigeminal nerve. Aka fever blisters Can be intra or extra oral lesions

Answer 61

**Secondary herpes simplex infection** Resides in the trigeminal ganglion dormant When reactivated goes on the distribution of the trigeminal nerve. Aka fever blisters Can be intra or extra oral lesions - **notice the clustering of ulceration at the gingiva.**

Answer 62

**Secondary herpes simplex infection** Resides in the trigeminal ganglion dormant When reactivated goes on the distribution of the trigeminal nerve. Aka fever blisters **Can be intra or extra oral lesions notice the small ulcerations on the mucosa**

Answer 63

this is **aphthous stomatits** *it is not herpatic lesion.* -lesions tend to be isolated with a **yellow center and red membrane peripheral.** *herpatic lesions are seen more in clusters!!*

Answer 64

recurrent aphthous stomatitis - unbound mucosa, movable and non keratinized. primary herpatic lesion - both movable and unmovable, all over recurrent herpes- bound down tissues, keratinized gingival palatal tissue

Answer 65

**aphthous stomatitis - minor** - at unbound mucosa, movable and non keratinized **- present for a couple of weeks** - no scar - associated with systemic ds: Behcets, Reiter, Inflam bowel ds (ulcerative colitis and Crohns), Gluten sensitivity, cyclic neutropenia, HIV/AIDS

Answer 66

**aphthous stomatitis - major** **- at unbound mucosa, movable and non keratinized** **- present for a couple of months, ~6 months** - does scar - associated with systemic ds: Behcets, Reiter, Inflam bowel ds (ulcerative colitis and Crohns), Gluten sensitivity, cyclic neutropenia, HIV/AIDS

Answer 67

**aphthous stomatitis - herpeticform *but not herpes!!*** **- at unbound mucosa, movable and non keratinized** - associated with systemic ds: Behcets, Reiter, Inflam bowel ds (ulcerative colitis and Crohns), Gluten sensitivity, cyclic neutropenia, HIV/AIDS - *i think you really have to look at the fact that they are still individually located there is just a lot of them vs herpes is more of a cluster.*

Answer 68

**Candidiasis “thrush”** Red background when wipe the white away

Answer 69

**fungal etiology - Candidiasis “thrush”** Red background when wipe the white away

Answer 70

**fungal infection - Angular cheilitis** @Corner of the mouth. Painful open sore. Treat by using a topical antifungal Seen with patients that have a loss of VDO → denture patients Pooling of saliva at lips. Saliva yeast bugs can cause a superficial infection.

Answer 71

**fungal infection - Angular cheilitis** @Corner of the mouth. Painful open sore. Treat by using a topical antifungal Seen with patients that have a loss of VDO → denture patients Pooling of saliva at lips. Saliva yeast bugs can cause a superficial infection.

Answer 72

**fungal etiology- Angular cheilitis** @Corner of the mouth. Painful open sore. Treat by using a topical antifungal Seen with patients that have a loss of VDO → denture patients Pooling of saliva at lips. Saliva yeast bugs can cause a superficial infection.

Answer 73

**fungal etiology: Hyperplastic candidiasis** It is unique because the white DOES NOT wipe away Histo: will tell you that it is superficial epithelium and has spores therefore an infection

Answer 74

**fungal etiology - Hyperplastic candidiasis** It is unique because the white DOES NOT wipe away Histo: will tell you that it is superficial epithelium and has spores therefore an infection.

Answer 75

**fungal etiology- Atrophic candidiasis erythematous candidiasis** Will be red where the complete denture rests on the mucosa Palate is red. When a sample is taken and cultured→ yeast will grow ***doesn't have the papillay appearance therefore it is NOT papillary hyperplasia. But you can tx papillary hyperplasia with an antifungal as well.***

Answer 76

**fungal etiology- Atrophic candidiasis erythematous candidiasis** Will be red where the complete denture rests on the mucosa Palate is red. When a sample is taken and cultured→ yeast will grow ***doesn't have the papillay appearance therefore it is NOT papillary hyperplasia. But you can tx papillary hyperplasia with an antifungal as well.***

Answer 77

## Footnote **fungal etiology- Central papillary atrophy median rhomboid glossitis** **Midline** of the dorsal portion of the tongue Yeast infection

Answer 78

**necrotizing ulcerative gingivitis (NUG)** **-** looks like a punched out or really beaten up interdentall papilla

Answer 79

**Allergic gingivitis - *gingival tissue if very red due to it being allergic to substance.*** Plasma cell gingivitis we will see: Patient chews mint gum and they are allergic too. Once the chewing was stopped then the inflammation stopped.

Answer 80

perculum= soft tissue that covers the unerupted tooth Inflammation of perculum⇒ **pericoronitis**

Answer 81

- geographic tongue

Answer 82

**geographic tongue** **- multiple erythematous zones with a white boarder surroudning it.** - most common at the lateral borders of the tongue and the tip of the tongue, but can also be seen on the floor of the mouth. - histo: psoriasiform mucositis, exocytosis of neutrophils into the epithelium, muncro microabscesses.

Answer 83

**geographic tongue** **- multiple erythematous zones with a white boarder surroudning it.** - most common at the lateral borders of the tongue and the tip of the tongue, but can also be seen on the floor of the mouth. - histo: psoriasiform mucositis, exocytosis of neutrophils into the epithelium, muncro microabscesses.

Answer 84

**geographic tongue** **- multiple erythematous zones with a white boarder surroudning it.** - most common at the lateral borders of the tongue and the tip of the tongue, but can also be seen on the floor of the mouth. - histo: psoriasiform mucositis, exocytosis of neutrophils into the epithelium, muncro microabscesses.

Answer 85

**geographic tongue** - multiple erythematous zones with a white boarder surroudning it. - most common at the lateral borders of the tongue and the tip of the tongue, but can also be seen on the floor of the mouth. **-histo: psoriasiform mucositis, exocytosis of neutrophils into the epithelium, muncro microabscesses.**

Answer 86

a pigmented lesion *Usually physiologic to a person of darker skin tones if it is over the entire mouth. If it is only found in one area, ask the patient if they are a smoker.*

Answer 87

**oral melanotic macule - *melanin is evenly pigmented.*** Focal increase in melanin Normal number of melanocytes Lower lip vermillion most common Can also be found on the inside of the cheek *Melanin found on the basement membrane and the lamina propria*

Answer 88

**oral melanotic macule** Focal increase in melanin Normal number of melanocytes Lower lip vermillion most common Can also be found on the inside of the cheek Melanin found on the basement membrane and the lamina propria

Answer 89

**hairy tongue** ## Footnote Elongated filiform papillae Exogenous pigmentation may impart a brown or black appearance Various associated factors Heavy smoking Antibiotic therapy

Answer 90

**Actinic cheilitis or actinic cheilosis —both potentially pre malignant** Sun damage, lip blends in with skin

Answer 91

**actinic chelitis/actinic cheliosis** both potentially pre malignant *here it is concerning because starting to get bump and irregular borders.* Sun damage, lip blends in with skin

Answer 92

**Reticular lichen planus** *notice this!* White lace appearance Bilateral asymptomatic white lesions of posterior buccal mucosa (wickman striae) Also papules and plaques (Seen in skin areas that flex→ causes itchy rash)

Answer 93

**Reticular lichen planus** *notice this!* White lace appearance Bilateral asymptomatic white lesions of posterior buccal mucosa (wickman striae) Also papules and plaques (Seen in skin areas that flex→ causes itchy rash)

Answer 94

**Erosive lichen planus** Red with superimposed white Erosive is typically more red.

Answer 95

**Erosive lichen planus** Red with superimposed white Erosive is typically more red.

Answer 96

**Erosive lichen planus** Red with superimposed white Erosive is typically more red.

common oral ds clinical photos exam 1 Flashcards

(123 cards)