The Oral Cavity- Normal Features and Introduction to Mucosal Pathology Flashcards

(35 cards)

1
Q

What should the management of a patient with mucosal pathology consider

A
  1. Aims of care
  2. Range of options
  3. Risk vs benefit
  4. Temporal factors
  5. Concordance
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2
Q

List some normal features that are often mistaken for pathology

A
  1. Ectopic sebaceous glands (Fordyce spots)
  2. Circumvallate papillae
  3. Filiform papillae
  4. Fungiform papillae
  5. Lingual tonsils
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3
Q

Give examples of terms we can use to describe abnormal findings

A
  1. Sessile
  2. Pedunculated
  3. Atrophy
  4. Erythema
  5. Vesicle
  6. Desquamative
  7. Homogeneous
  8. heterogeneous
  9. Crenulated
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4
Q

Define pedunculate

A

A lesion on a stalk

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5
Q

Define sessile

A

A lesion which has abase broader than its projection vertical from the tissue

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6
Q

What is an Epulis

A

A gingival swelling

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7
Q

Define atrophy

A

Thinning of an epithelium. mucosa leading to reddened appearance due to a reduced thickness of superficial tissue

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8
Q

Define erythema

A

Reddening due to increased vascularity

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9
Q

What is leukoplakia

A

A diagnosis of exclusion- a white patch for which there is no identifiable etiological reason found

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10
Q

What is a vesicle

A

Tiny blisters usually less than 5mm in diameter that contain liquid

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11
Q

What is a bulla

A

A large blister over 1cm in diameter containing clear, serous or hemorrhagic fluid

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12
Q

What is an ulcer

A

A full thickness loss of epithelium extending into the underlying connective tissue

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13
Q

When an ulcer heals what does it leave behind

A

A scar

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14
Q

What is erosion

A

Superficial or partial destruction of skin or mucosa that does not scar on healing

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15
Q

What is a cyst

A

A thin walled closed caps or sac like structure, filled with fluid, solid or semi solid material
It has an epithelial lining

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16
Q

Define Desquamative

A

Shedding of the outermost cell layers of the epithelium to leave a raw appearance

17
Q

What is a macule

A

A flat spot with an altered colouration less than 1cm in diameter

18
Q

What is a papule

A

An elevated solid lesion less than 1cm in diameter

19
Q

What do we mean by plaque when talking about lesions

A

A circumscribed palatable lesion more than 1cm in diameter.

may be thickened or elevated from the surface of the skin or mucosa.

20
Q

What is a nodule

A

An elevated solid palpable lesion more than 1cm in diamtre

21
Q

What is a Purpura

A

Red, purple or brown non blanch able spots caused by bleeding into the skin or mucosa

22
Q

Define Eechymosis

A

A bruise (bleeding under the skin or mucosa)

23
Q

Define Homogeneous

A

A lesion with a uniform appearance throughout

24
Q

Define heterogeneous

A

A lesion which has a mixed or diverse appearance

25
Define Striae
A striped or bond like appearance
26
Define Hyperkeratotic
Thickening of the stratum corneum of the skin or the outermost layer of the mucosal epithelium.
27
What does keratin do in the mouth
keratin absorbs moisture and takes on a bright white appearance.
28
Define hyper plastic
Enlargement of a tissue by an increase in cell numbers.
29
Define hyperplasia
Enlargement of a tissue by an increase in cell numbers.
30
Define hypertrophic
Enlargement of a tissue by an increase in the size of each cell
31
define crenelated
Having an irregular wave like pattern
32
Define fissured
Splits, cracks or grooves most commonly seen on the tongue to lips
33
Define Depapillated
Loss of the papillae to leave a smooth flat appearance to the dorsal tongue
34
Define Excoriated
A scratched appearance meaning loss of epidermis and some of the dermis from the action of the finger nails or other implement used to scratch.
35
Define Leukodema
A bluish-white opalescence of the buccal mucosa that becomes normal colour on stretching the tissue