Painless, sharply demarcated, elevated indurate border, verrucous or plaque like
carcinoma of the lips
What condition has prodrome,clustered vesicles that rupture, ulcerate, and crust?
Recurrent herpes labialis
Soft, clear or bluish bubble, moveable, cystic
mucocele
erythematic and scaling lips
cheilitis
deep cracks, split, bleeding, shallow ulcer in angle of mouth
angular cheilitis
painless, lace-like white patches, non-erosive
Oral Lichen planus
white patch or plaque, cannot be rubbed off, “flaking white paint”, red dots
leukoplakia
red macule or plaque, demarcated edges, soft
erythroplakia
exophytic or ulcerated, indurated, rolled border, painful
oral squamous cell carcinoma
pigmented, non-blanching lesion; concerning ABCDE
Melanoma
benign, multiple white or yellow 1-2mm papules confluent cluster, cannot be wiped off
Fordyce’s spots
slightly raised, soft white plaques. Easily wiped away with pinpoint bleeding
oral candidiasis
membrane-like exudate; may include fever, malaise, and LA
pseudomembrane stomatits
acute, painful, recurring, solitary or multiple necrotizing ulcerations. Round, whiteish
recurrent aphthous stomatitis
painful, prodrome, vesicular lesions, erythematous base, crusting
herpetic gingivostomatitis
painful stomatitis, sudden onset of hemorrhagic vesicles and bullae with erythematous base
oral erythema multiforme
Painless ulceration, indurated border, no central necrotic tissue; tender cervical LA
chancre
white, hyperkeratotic lesion
frictional hyperkeratosis
painless, folds of fibrous CT. firm or spongy with impression of denture edge. May be erythematous or ulcerated where denture edge hits
epulis fissura
small, painful ulcers. Overlying gray necrotic membrane with inflammatory halo
denture sore spot
mucosa under dentures very red, sharply demarcated, localized, swollen, smooth or granular
denture mouth
painless, sessile or pedunculated swelling. Firm or soft and spongy. <1cm
irritation fibroma
acute non-pitting edema, rapid onset, painless, well-circumscribed
Angioedema
acute non-pittig edema, rapid onset, painless, urticaria, pruritic
Angioedema from allergy
unifocal, indurated, painful. Not pruritic or urticaria
hereditary angioedema
nodular protuberance of bone. Non-neoplastic, slowly growing
palatal or mandibular torus
flat or raised lesions, deep red or bluish
hemangioma
Blue, looks like a hemangioma Blanches when pressed
varicosities
asymptomatic, <1cm, well-circumscribed, pedunculated, papillary or verrucal
papilloma
Painless, yellow, soft or rubbery, non-tender, somewhat mobile
lipoma
red, shiny, swollen, pocket formation, bleeding, changes in contours
gingivitis
punched out lesions with gray membrane, bleed easily, ulcerations, swelling, significant halitosis
Vincent’s angina ANUG
pain with chewing, food impaction in pockets, tooth tender to percussion, visible plaque, red, swollen gums with exudate, bleeding
peridontitis
pain with hot, cold, or sweet foods and beverges
Caries
more severe pain, swelling of mucosa over affected tooth
Apical abscess
swelling under chin, malaise, fever, dysphagia, stridor - (emergency!)
Ludwig’s angina
HA, vision changes, exoppthalmos, paralysis of cranial nerves - (emergency!)
Cavernous sinus thrombosis
painless, black or green hyperplastic filiform papillae on dorsal third of tongue
Hairy tongue
tongue shakes when stuck out
Tongue tremor
small smooth, glossy tongue. May be red ad painful, burning, paresthesia of taste, sensitivity when eating
atropic glossitis
swollen, beefy red tongue. Pale tongue from pernicious anemia, fiery red from B vit deficiency
Glossitis
deep transverse: congenital. Long dry, deep midline furrows: dehydration, syphilis
furrows
With furrows: dehydration. Without furrows: Sjogren’s
dry tongue
very painful throat; preceded 24-48 hrs by runny nose, modest lymphnode enlargement
Adenovirus
marked redness and swelling of the throat, tonsils 4+ with exudate
Infectious mononucleosis
enlarged, tender lymph glands, bright red inflammed throat, often unilateral, rapid progression, sysemic symptoms
Group A streptococcus
gray tough fibrous membrane in tonsillar area bleeds with scraping. Dyspnea, dysphagia, low fever, N&V
Diphtheria
sudden onset, high fever, malaise, vomiting, enlarged hyperemic tonsils with purulent exudate, fetid breath
acute tonsillitis
worsening unilateral sore throat and dysphagia, fever, malaise, HA, change in voice, Neck pain, swollen LN, redness and edema around tonsil, uvula displaced
peritonsillar abscess
markedly swollen ant. Triangle of neck, throat may look normal
parapharyngeal abscess
sore throat, sense of lump in throat, dysphagia, trismus, torticollis, muffled voice, fever, chills, malaise, irritability
retropharyngeal abscess
