top 30 most common- pictures Flashcards Preview

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Flashcards in top 30 most common- pictures Deck (123):
1

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#1 most common: Leukoplakia

Doesn't rub off, bx it

2

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Leukoplakia

 

tx: remove it

3

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this is: materia alba

1)materia alba

2)White coated tongue

3)burn: thermal, chemical, cotton roll, aspirin, etc

4)pseudomembranous candidiasis

5)toothpaste/mouthwash overdose

4

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Materia Alba

Tx: white it off

5

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White coated tongue

Tx: treat the udnerlying AIDs

6

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Burns: thermal, electrical, chemical, aspirin, cotton roll

tx: discontinue use of chemical

7

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aspirin burn

tx: discontinue use of aspirin

8

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aspirin burn

tx: discontinue use

9

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listerine overdosing

tx: discontinue use

10

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cotton roll burn

11

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Candidiasis

tx: antifungal

12

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Candidiasis/trush

tx: antifungal

13

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Candida Albicans

Tx: antifungal

 

4 ways to dx: clinical findings, culture (sabouraud's media, cytology (smear), bx

14

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Candidiasis

tx: antifungal

15

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Candidiasis

tx: antifungal

16

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Candidiasis

 

White Pseudomembranous
Red Erythematous
Central Papillary Atrophy of tongue
Angular Cheilitis
Denture Stomatitis
Mucocutaneous

17

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Angular Chelitis

 

Tx: antifungals

18

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Central Papillary Atrophy of tongue (Median Rhomboid Glossitis)

19

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Candidiasis

Tx: antifungal

20

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LINEA ALBA: No treatment
LEUKOEDEMA: No treatment
NICOTINE STOMATITIS: Discontinue smoking.
ORAL HAIRY LEUKOPLAKIA: Treat the underlying AIDS
TOBACCO POUCH KERATOSIS: Discontinue “dipping”
LICHEN PLANUS: Steroids

21

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Linea Alba

Tx: none

Bilateral on B mucosa @ occlusal plane

22

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Leukoedema

Tx: none

bilateral; diffuse grayish white milky opalescent appearance

23

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leukoedema

Tx: none; disappears when cheek is stretched

24

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nicotine stomatitis

tx: stop smoking

25

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nicotine stomatitis

tx: stop smoking

26

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nicotine stomatitis

tx: stop smoking

27

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oral hairy leukoplakia

Tx: treat the AIDs

bilateral folds on lateral surface of tongue; EBV lesion seen in AIDs pts

28

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oral hairy leukoplakia

Tx: treat the AIDs

29

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oral hairy leukoplakia

Tx: treat the AIDs

30

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tobacco pouch keratosis

tx: stop dipping or move it around

31

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tobacco pouch keratosis

tx: stop dipping or move it around

32

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tobacco pouch keratosis, it can become VERRUCOUS CARCINOMA

tx: stop dipping or move it around

33

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lichen planus on skin: purple, pruritic, polygonal papules; chronic mucocutaneous disease

tx: steroids

34

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Oral lichen planus

tx: lidex/steroids for erosive type

35

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Oral lichen planus

tx: lidex/steroids for erosive type

36

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Oral lichen planus; Left: reticular; RIght: Erosive

tx: lidex/steroids for erosive type

37

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Oral LP due to lichenoid drug rxn

tx: change drug

38

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Oral lichen planus

tx: steroids for erosive type

histo: saw toothed rete ridges and band like lymphocytic infiltrate 

39

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leukoplakia

tx: bx most severe area

clinical term only

40

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leukoplakia: hyperkeratosis

41

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leukoplakia: dysplasia

42

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leukoplakia: carcinoma in situ

43

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leukoplakia: SCC

44

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Tori

tx: none, remove for dentures

45

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Tori

tx: none, remove for dentures

46

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Tori

tx: none, remove for dentures

47

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Tori

tx: none, remove for dentures

48

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Tori

tx: none, remove for dentures

49

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#3: INFLAMMATION or IRRITATION

TRAUMATIC ULCER
PERICORONITIS
PERIODONTAL ABSCESS
A.N.U.G.
PARULUS
 

50

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traumatic ulcer

51

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traumatic ulcer post local anesthetic

52

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traumatic ulcer: pericoronitis

53

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traumatic ulcer: periodontal abscess

54

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A.N.U.G

55

most common benign neoplasm of the oral cavity

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Fibroma

Tx: surgical excision

location: B mucosa > labial mucosa > tongue > gingiva

56

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fibroma

tx: surgical excision

57

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Fibroma look a likes on the gingiva: 3Ps and FIFH
Pyogenic granuloma
Peripheral Giant Cell Granuloma
Peripheral Ossifying Fibroma

Focal Inflammatory Fibrous Hyperplasia
 

58

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pyogenic granuloma

tx: conservative excision + SRP

75% on gingiva; 25% on tongue, lips, B mucosa

59

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peripheral giant cell granuloma

tx: excision down to bone + SRP

Histology = Multinucleated giant cells with vascular background. 50% are ulcerated.

reactive lesion caused by local irritation or trauma on alveolus

more blue-purple compared to bright red of pyogenic granuloma

60

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peripheral ossifying fibroma

tx: local surgical excision + SRP

histo: bone w/in fibrous ct

61

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focal inflammatory fibrous hyperplasia

tx: remove the cause and surgically remove the hyperplastic tissue

histo: increase fibroblasts and collagen; reactive lesion due to lcoal irritation

62

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Fordyce's granules

tx: none

YELLOW papules; B mucosa > lips

63

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fordyce's granules

tx: none

64

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hemangioma

tx: surgery, laser, embolization

65

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hemangioma

tx: surgery, laser, embolization

blanches under pressure

66

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hemangioma

tx: surgery, laser, embolization

67

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Sturge Weber

hemangioma

tx: surgery, laser, embolization

68

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hemangioma

tx: surgery, laser, embolization

69

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RAU

Tx: steroids and antibiotics

Location + Size + Number for dx

Non-keratinized, non-bound down mucosa
1-2 lesions, .5-1 cm in diameter

70

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RAU

Tx: steroids and antibiotics

Location + Size + Number for dx

Non-keratinized, non-bound down mucosa
1-2 lesions, .5-1 cm in diameter

71

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RAU- complications: major, herpetiform, Behcet's

72

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Papilloma

tx: surgical excision

73

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papilloma

74

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epulis fissuratum

focal inflammatory fibrous hyperplasia at flange of ill fitting denture

tx: surgical excision w/relining/remake denture

75

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epulis fissuratum

tx: surgical excision w/relining/remake denture

76

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epulis fissuratum

tx: surgical excision w/relining/remake denture

77

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varicosities

tx: none

78

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fissured tongue/scrotal tongue

tx: brush tongue

79

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geographic tongue/ benign migratory glossitis

tx: none

80

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geographic tongue

tx: none

81

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extopic geogrpahic tongue

82

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papillary hyperplasia

tx: surgical excision, reline/remake denture

83

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papillary hyperplasia

tx: surgical excision, reline/remake denture

84

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herpes

tx: antiviral

85

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herpetic keratoconjunctivitis

86

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primary oral herpes infection

tx: antivirals, best given prodromal stage to day 3

87

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recurrent oral herpes infection: herpes labialis

tx: antivirals

88

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recurrent oral herpes infection: herpes labialis

tx: antivirals

89

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recurrent oral herpes infection: herpes labialis

tx: antivirals

Bound down keratinized epithelium
Multiple (10-15) cluster of lesions: Vesicle progressing to ulcer.
1-2 mm in diameter

90

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herpes

tx: antivirals

91

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herpes

-serology, virus isolation, bx, cytology

92

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herpes

93

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mucocele

tx: surgical excision along w/feeder gland

94

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mucocele

tx: surgical excision along w/feeder gland

95

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mucocele- ranula

tx: surgical excision along w/feeder gland

96

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scar tissue

tx: none

97

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angular cheitis

tx: antifungals, increase VDO

98

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angular cheilitis

tx: antifungals, increase VDO

99

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angular cheilitis

tx: antifungals, increase VDO

100

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lingual tonsil

tx: none

Lymphoid hyperplasia on the posterior lateral borders of the tongue, bilateral

101

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lingual tonsil

tx: none

102

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lingual tonsil

tx: none

reactive lymphoid aggregate

103

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hematoma

tx: none

accumulation of blood w/in tissues secondary to trauma

104

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tobacco pouch

tx: stop dipping

105

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chronic cheek biting/ morsicatio buccarum, labiorum, linguarum

tx: none or bite guard

106

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lichen planus

tx: steroids

Striae of Wichkam

107

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chronic lichen planus

108

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lichen planus

 

109

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buccal exostoses

tx: removal only w/chronic repeated trauma or preprosthetic surgery

110

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buccal exostoses

Male = female

111

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exostoses- also on palate, subpontic, subgraft

112

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amalgam tattoo

tx: none, may need bx to rule out melanoma

113

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amalgam tattoo

tx: none, may need bx to rule out melanoma

114

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oral melanotic macule

tx: none but may need bx to rule out melanoma

focal melanosis- oral freckle

lower lip > B mucosa > gingiva

115

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median rhomboid glossitis

tx: antifungals and brushing tongue

116

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black hairy tongue

tx: tongue scraping or brushing

117

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black hairy tongue

118

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smooth red tongue

tx: find underlying cause and stop it

causes: pernicious anemia, medications, avitaminosis

symptoms: burning/pain

119

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epidermoid cyst

tx: surgical removal

Skin cysts associated with inflammation of a hair follicle

Oral cysts occur in the midline of the floor of the mouth

120

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epidermoid cyst

121

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epidermoid cyst

122

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lipoma

tx: surgical excision

YELLOW

Skin lesions: trunk and proximal portions of the extremities
Oral lesions: B mucosa > tongue > FOM > lips

123

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lipoma

tx: surgical excision