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Flashcards in Spring Quiz Deck (18)
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1

What is the Gum Bump DDX?

  • Fibroma
  • Pyogenic Granuloma
  • Peripheral Ossifying Fibromas
  • Peripheral Giant Cells Granuloma

2

What are 2 types of Lichen Planus?

  1. Reticular LP
  2. Erosive LP

3

Describe Reticular LP...

  • Interlacing white lines
  • Dorsal tongue involvement, patchy keratosis and atrophy
  • C. albicans may be superimposed on either

4

Describe Erosive LP...

  • Shallow ulcers
  • Peripheral erythema 
  • Radiating white lines
  • C. albicans may be superimposed on either

5

How do you treat Oral Lichen Planus?

  • Management includes treatment of any associated candidiasis with antifungal therapy
  • For remaining lesions, topical corticosteroids
  • Reticular LP usually requires no therapy
  • Erosive KP should be treated with one of the stronger topical corticosteroids; systemic steroids usually not needed

6

What do autoantibodies attack in Pemphigus Vulgaris?

Desmosomes

Blister forms within the epithlium

7

What are some oral presentations of Pemphigus Vulgaris?

  • Blisters
  • Ragged superficial erosions/ulcerations

8

What is a Positive Nikolsky Sign?

  • Formation of bullae on previously unaffected skin after application of firm, lateral pressure
  • Characteristic of pemphigus vulgaris

9

What type of solution to you submit Pemphigus Vulgaris in?

Michel's Solution

Ammonium sulfate solution; transport medium, not a fixative like formalin; allows for "fresh" tissue

10

What do the antibodies attack in Pemphigoid?

  • Antibodies directed against components of the epithelial basement membrane causing subepithelial splitting

11

What is the differential dx for Papillary lesions?

  • Squamous Papilloma
  • Verruca Vulgaris
  • Condyloma Acuminatum
  • Giant Cell Fibroma
  • Heck's Disease

12

What is a DDX for Mucosal Pigmentation?

  • Oral Melanotic Macule
  • Oral Melanoacanthoma
  • Amalgam tattoo

13

What is Diascopy?

Test for blanchability performed by applying pressure with a finger or glass slide and observing color changes, used to determine if a lesion is vascular, non vascular, or hemorrhagic

14

What oral symptom is common with Erythema Multiforme?

Crusting of Lips

15

What skin lesions are clasic for Erythema Multiforme?

Target Lesions

16

17

What are 4 Bening Peripheral Nerve Sheath Tumors?

  • Neurofibroma
  • Schwannoma
  • Traumatic Neuroma
  • Palisaded Encapsulated Neuroma

18