oral path Flashcards by janai oneal

Ludwig’s angina is infection of __________ space

submandibular

How well did you know this?

Not at all

Perfectly

swollen hyperplastic fungiform papillae

+ strawberry tongue

scarlet fever

How well did you know this?

Not at all

Perfectly

valveless facial veins

cavernous sinus thrombosis

How well did you know this?

Not at all

Perfectly

external ear changes

Treacher Collins

How well did you know this?

Not at all

Perfectly

ectopic sebaceous glands that are yellow papules/plaques

fordyce granules

How well did you know this?

Not at all

Perfectly

results from local trauma or infection with developing tooth bud

Turner tooth

How well did you know this?

Not at all

Perfectly

which type of aphthous ulcer is NOT preceded by a vesicle?

recurrent type

tx: corticosteroid

How well did you know this?

Not at all

Perfectly

characterized by subepithelial separation at basement membrane zone ** subepithelial split

Benign mucous membrane Pemphigoid

autoimmune - antibody rxn at epi-CT interface

How well did you know this?

Not at all

Perfectly

white “wipeable” patch with red underlying base

pseudomembranous candidiasis

How well did you know this?

Not at all

Perfectly

atrophy of filiform papillae, red, midline of tongue at jxn of posterior third and anterior 2/3

median rhomboid glossitis

tx: antifungal nystatin or clotrimazole

How well did you know this?

Not at all

Perfectly

wandering transected nerve with scar tissue

traumatic neuroma

painful

How well did you know this?

Not at all

Perfectly

local reactive growth, usually on gingiva (interdental papillae), exophytic, bleeds easily, non painful, proliferative, grows fast

pyogenic granuloma

How well did you know this?

Not at all

Perfectly

liver colored, MULTINUCLEATED GIANT CELLS, limited to alveolar ridge/gingiva, anterior to 1M

Peripheral giant cell granuloma

How well did you know this?

Not at all

Perfectly

intrabony, MULTINUCLEATED GIANT CELLS, anterior to 1M, bone destruction 2* to chronic renal disease

central giant cell granuloma

How well did you know this?

Not at all

Perfectly

epithelium, white or pink-white, rough cauliflower surface, elevated lesion , more frequent than some “oma”s ,

squamous papilloma

How well did you know this?

Not at all

Perfectly

most common connective tissue tumor

fibroma

How well did you know this?

Not at all

Perfectly

reactive, not a true tumor, hyperplasia (not neoplasia), firm smooth pink, common on tongue

fibroma

How well did you know this?

Not at all

Perfectly

nodule with smooth papillate surface, granular cells in cytoplasm, often histo has PSEUDOEPITHELIOMATOUS HYPERPLASIA (resembles SCC)

granular cell tumor

How well did you know this?

Not at all

Perfectly

1 site of granular cell tumor

dorsum of tongue

How well did you know this?

Not at all

Perfectly

white patch that doesn’t wipe off, cytology doesn’t help, must biopsy, if 2+ areas then incisional biopsy

leukoplakia

How well did you know this?

Not at all

Perfectly

red plaque that doesn’t wipe off, highly likely to undergo malignant transformation and severe dysplasia

erythroplakia

tx: incisional biopsy

How well did you know this?

Not at all

Perfectly

intraoral site with highest risk of SCC

floor of mouth

How well did you know this?

Not at all

Perfectly

most common intraoral site of SCC

mid lateral border of tongue

How well did you know this?

Not at all

Perfectly

least likely site of SCC

hard palate

How well did you know this?

Not at all

Perfectly

most common SCC in general

lower lip | can be preceded by actinic cheilitis

most common node with metastasis in SCC

submental node

SCC on radiograph shows as

poorly defined radiolucencies without reactive sclerotic border

common in posterior mandible, poorly defined radiolucency without sclerotic border, does NOT cause shift in occlusion

metastatic disease of jaw

benign neoplasm of salivary gland that is most common on UPPER lip, women, asymptomatic, can be multinodular

monomorphic or canalicular adenoma

stretches and disappears when you pull, intracellular edema of cells, often BILATERAL on buccal mucosa, no treatment necessary

leukoedema

seen with smokeless tobacco habit**, not likely to metastasize, buccal vestibule common (different from SCC), large elevated papillary lesion

verrucous carcinoma

p53 tumor suppressor gene

most common associated in field cancerization

most common salivary gland tumor

pleiomorphic adenoma

most common malignant salivary gland tumor and it is mainly where?

mucoepidermoid carcinoma | mainly in parotid

melanosis may be seen in ___________ insufficiency

adrenal

a TRUE CYST (epithelial lining), well circumscribed RL between roots of erupted, vital teeth - often mand premolars

lateral periodontal cyst

tumor common in posterior mandible but CAN CROSS MIDLINE, most common true odontogenic tumor (#1 odontogenic cyst), MULTILOCULAR RADIOLUCENCY, often associated w. impacted tooth

ameloblastoma | tx remove jaw

histology of ameloblastoma

reverse polarization of nuclei of columnar cells in periphery

has neoplastic epithelial AND mesenchymal tissue so true mixed tumor, younger patients, slight pain/swelling, not aggressive, pure lucency

ameloblastic fibroma

odontoma portion is radiopaque, rest is lucent, slight pain/swelling, not aggressive, posterior jaws, young

ameloblastic fibroodontoma

young people, radiopacity with lucent rim( (follicle), can be compound with identifiable toothlets or complex with unidentifiable mass

odontoma

young, unerupted tooth, treatment is ENUCLEATION, radiograph snowflake calcifications in RL surrounding crown and impacted root

AOT | Adenomatoid odontogenic tumor

lack enamel, normal cementum/dentin, normal root/crown shape, pulp chambers and root canals normal

amelogenesis imperfecta

dentinogenesis imperfecta

bulbous bell shaped crowns, obliterated pulp chambers, constricted CEJ, opalescent blue/gray dentin,

multilocular bilateral radiolucencies, jaw expansion that stops after childhood

cherubism

UNILATERAL mn or mx expansion, painless swelling, onset before puberty, C/C is "my teeth don't fit", non infectious process CAFE AU LAIT spots GROUND GLASS radiographic

fibrous dysplasia | tx bone shaving after 20 when stable

cafe au lait spots in polyostotic form

mccune albright syndrome

associated with pulpitis, nonvital, periapical RADIOPACITY, does not connect with root - root outline always visible unlike cementoblastoma

condensing osteitis

no pulpitis, no pain, no expansion, radiopacity without lucent rim, not connected to root

idiopathic osteosclerosis | tx none

radiolucency with SCALLOPED MARGINS, PSEUDOCYST, spontaneous healing after exploratory surgery

traumatic bone cyst

bilateral maxilla, older people, high malignant trans. COTTON WOOL appearance REVERSAL lines with MOSAIC appearance cranial nerve deficits as nerve compressed ALKALINE PHOSPHATASE INCREASED

Paget's disease

tooth floating in air on radiograph, made of Langerhans cells

Langerhans cell disease

Ominous sign of malignancy bone involvement

spontaneous paresthesia of lower lip

Sign of benign bone involvement

cortex remains intact, thinned, or expanded

calcification of falx cerebri, bifid rib, basal cell carcinoma, cysts of jaws

nevoid basal cell carcinoma syndrome

hyperdontia, intestinal polyps (FAP > colon ca)

Gardner syndrome

CN 7 paralysis, lasts about a month

Bell's palsy

BULLS EYE / TARGET LESIONS on hands and feet, crusted bleeding vesicles on vermilion and intraoral sites EXCLUDING GINGIVA, young males

erythema multiform

involves eye, mouth, genitalia > very bad. erythema multiform major

Stevens Johnson Syndrome

vesiculoulcerative, intraepithelial (supraepithelial) cementing substance POSITIVE NIKOLSKY SIGN INTRAEPITHELIAL SPLIT, BASAL LAYER INTACT

pemphigus vulgaris | tx: corticosteroids

autoimmune, replace normal CT with dense collagen > fibrosis, loss of mobility, altered organ fxn PDL WIDENING, TRISMUS, mask like induration

Scleroderma (progressive systemic sclerosis)

DESQUAMATIVE FILIFORM PAPILLAE, sore or burning, tx with corticosteroid rinse, moves around, dorsum tongue most common

benign migratory glossitis (geographic tongue) | tx corticosteroid rinse

DESQUAMATIVE FILIFORM PAPILLAE, sore or burning, tx with corticosteroid rinse, moves around, dorsum tongue most common

benign migratory glossitis (geographic tongue) | tx corticosteroid rinse

white coagulative necrosis of surface, RUBS OFF with difficulty

aspirin burn

does not occur intraorally, painless ulcer on SUN EXPOSED, raised margins, ASSOC TELANGIECTASIA most common form of skin cancer

basal cell carcinoma

floor of mouth swelling, FROG'S BELLY, bluish, recurrence, true retention cyst , INCREASE IN SIZE BEFORE MEAL, histiocytes visible

ranula

slight RADIOPAQUE dome shaped from floor of sinus, asymptomatic

antral pseudocyst

result of proliferation of remnants of reduced enamel epithelium, common site 3M and posterior mandible, pericoronal RL at CEJ of unerupted tooth

dentigerous cyst

calcified or elongated stylohyoid ligament; neck pain with chewing, yawning, opening mouth

Eagle Syndrome

crop of painful vesicle ulcers, markedly UNILATERAL

herpes zoster

slightly compressible, DOUGHY, midline distribution usually anterior FOM

dermoid cyst

multiple mucosal neuromas medullary thyroid carcinoma adrenal pheochromocytoma

multiple endocrine neoplasia syndrome

most common non-odontogenic developmental cyst, teeth vital, true cyst (epi lining), heart shaped RL

incisive canal cyst

a GENODERMATOSIS (autosomal dominant), BILATERAL mucosa, thick, white folds of tissue , no eye involvement

white sponge nevus | defect in normal keratinization

PREMALIGNANT, vermilion border becomes indistinct, sun exposure

actinic cheilitis

seen in HIV, caused by EBV, white rough plaque on lateral border of tongue

oral hairy leukoplakia

middle aged black women, mandibular anterior teeth, TEETH ARE VITAL!, asymptomatic, no expansion or pain multifocal RLs that become mixed RL/RO and finally RO

periapical cemento-osseous dysplasia

multiquadrant, fibro-osseous intrabony lesion, complication is 2* osteomyelitis, RL and RO

florid osseous dysplasia

Wickham's striae, comes in reticular, erosive, and hyperplastic types, negative Nikolskys sign

Lichen planus

oral path Flashcards

(79 cards)