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Flashcards in Week 2 Deck (21)
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1

Breath odor (Halitosis) can be indicative of ......

Gingiva Smoking Diabetic Ketoacidosis Liver failure

2

Causes of dry mouth (Xerostomia)

Mouth breathing Dehydration Diuretics Salivary disease Sialoliths

3

What is the prodrome to Herpes Labialis

Itching, burning, tingling (12-36 hours) followed by eruption of clustered vesicles along the vermilion border

4

Herpes Labialis reactivation is triggered by ......

UV light, trauma, gatigue, stress, menstruation

5

What are the characteristics of a SCC lesion?

PAINLESS, sharply demarcated, elevated, indurated border with ulcerated base, verrucous or plaque like, usually found in mucocutaneous junction, SLOW GROWING, FAILS TO HEAL

6

What are the SSX of a Mucocele(lips)/Ranula(under the tongue)?

thick, mucus-type saliva produced by a damaged salivary gland which produes a clear or bluish bubble (1-2cm), movable, cystic, may rupture, bleeding possible = red/purple lesion

7

A mucocele is produced because of .......

trauma injury to ductal system of minor labial or sublingual salivary gland 

8

What is Cheilitis?

Etiology?

"chapped lips"

use of retinoids, wind-burn, allergies, chronic lip licking

9

SSX of Angular chelitis

Concerns accompanying it

Deep cracks at labial commisure.  

Secondary infection: Candida albicans (tested via KOH prep) or staph aureus

10

Etiology of angular chelitis

Elderly: ill-fitting dentures, loss of teeth, changing bite, dry mouth (sicca)

poor hygiene

Vitamin B deficiency and iron deficiency anemia

11

A solitary lesion that lasts > ____ weeks should be biopsied for malignancy?

A solitary lesion that lasts > 2 weeks should be biopsied for malignancy?

12

Non-erosive lesion that is:

  • usually painless
  • lacelike white patches/papules/streaks 
  • not contagious
  • if chronic increases risk for oral cancer

Oral Lichen planus

13

  • White patches or plaque on oral mucosa that cannot be rubbed off
  • Up to 20% of lesions will progress to cancer in 10 years
  • ~90% of lesions in >40, M>F (Inflammatory conditions)
  • surface is often shriveled in appearance and may feel rough "flaking white paint"
  • lesion cannot be wiped away

Leukoplakia

Etiology: 

  • oral sepsis
  • syphilis
  • dental galvanism
  • local irritation
  • vitamin deficiency
  • AIDS
  • alcoholism
  • endocrine disturbance

14

White oral lesions that CANNOT be wiped off with gauze that we're curretly studying 

 

  • licen planus
  • squamous cell carcinoma SCC
  • leukoplakia

15

What disease most often found on the floor of the mouth or on the lateral and ventral surfaces of the tongue effects ~30,00 in the US each year; 90% are smokers

Oral SCC

 

may appear as area of erythroplakia or leukoplakia

16

Red macule or plaque with well-demarcated edges with soft texture.  

Pre-cancerous (cancer found in 40% of cases)

Erythroplakia 

17

Pigmented lesions with concerning 

Asymmetry

irregular Borders

variable Coloration

increasing Diameter

Evolving

Melanoma

18

Inflammation of the oral tissue from local or systemic conditions

Stomatitis

19

Slightly raised soft white plaque lesions (look like milk curds) that are easily wiped away, causing bleeding.  Confirmed with KOH prep.

 

*recurrent infections may be indicative of greater immune system threat

Oral Candidiasis "Thrush"

20

Painful lesions that occasionally have prodromal burning or tingling.

No crusting or vesicles.

Ulcers are shallow, round to oval with graysih base and red border

May occur as outbreaks

Recurrent Aphthous Stomatitits = canker sores

21

Chancre

Single painless ulceration formed during the primary stage of syphilis.