Week 5 Flashcards Preview

Oral Pathology test 2 > Week 5 > Flashcards

Flashcards in Week 5 Deck (28)
Loading flashcards...
1

What are the 5 P's in Lichen Planus

Puritic, Papule, Purple, Polygonal and Plaque (Phlat)

2

Is Lichen Planus autoimmune?

NO, Immune mediated only (no antibodies/proteins attacked)

3

What type of hypersensitivity is Lichen Planus?

Type 4

4

6 types of Lichen Planus

BEER-UP. Bullous, Erythamatous, Erosive, Reticular, Ulcerative and Plaque.
Atrophic is aka erythematous

5

Lichen Planus
-histologic->DIF finding

Presence of Fibrinogen at BMZ

6

What type of Lichen Planus would you use a steroid for treatment?

Erosive/Bullous/Ulcerative (those with ulcerations)

7

What % malignancy rate does Lichen Planus have?

None, only coincident.

8

Two types of Lupus Erythematosus?

Systemic
Discoid

9

Difference between SLE and DLE (2)
-SLE has _______
-DLE only affects _______

SLE has antibodies. DLE only affects oral and skin.

10

Describing the Skin lesions of DLE (2)

1. Hypopigmented centers
2. Hyperpigmented Margins

11

Describing the Oral lesions of DLE (2)

1. Ulcers
2. With Striae

12

What antibody test is MOST suggestive of SLE?

(positive for) Anti Sm antibodies.

13

Describing the Oral lesions of SLE (2)

1. Ulcers
2. With Striae

14

Describing the Oral lesions of SLE
-Location(4)

1. Vermillion border
2. Buccal mucosa
3. Gingiva
4. Palate

15

What is NOT included in the differential for Red lesions with SLE??

Leukoplakia

16

SLE
-histologic->DIF findings (5)

1. IgG,2. IgM 3. IgA, 4. C3 5. Fibrinogen

17

Unique treatment option for SLE and the common one.

Unique: AntiMalarials
Normal: Steroids

18

What do you most need to determine for an infection of Candida?

WHAT IS THE ROOT CAUSE, because it is a commensal organism!

19

Predisposing Factors (causing) candida (6)

1. *Systemic antibiotics
2. Steroids
3. Dentures
4. Dry Mouth
5. Diabetics
6. Immunosuppressed HIV

20

Pseudomembranous Candidiasis
-3 People likely to get this type

1. Oldies
2. Youngens
3. Asthmatics (steroid Inhalers)

21

Pseudomembranous Candidiasis
-Condition of underlying skin when attempted to wipe off

-The skin underneath is Red, ulcerated and/or eroded

22

Median Rhomboid Glossitis
-Location(s)* 1-->2

Midline of tongue, THIS OFTEN SPREADS TO THE PALATE, this is called a Kissing LESION.

23

Treatments for Candidiasis (3)
-One is specifically for the Angular Cheilitis

1. Nystatin, 2. Clotrimazole, ***Iodoquinol/Hydrocortisone for Angular Cheilitis

24

Oral Submucous Fibrosis (OSF)
-affects epithelial layer or C.T.

BOTH muthertruckers!

25

Oral Submucous Fibrosis
-Is this safe or premalignant?

Premalignant, NOT FREAKING SCLERODERMA

26

Oral Submucous Fibrosis
-Clinical features (3)

1. Trismus, 2. Pain, 3. Pale Mucosa (a white hue)

27

Oral Submucous Fibrosis
-Histopath (3)

1. Hyperkeratosis!
2. DENSE Collagen in C.T.
3. Chronic inflammation

28

Oral Submucous Fibrosis
-Treatment (2)

1. Steroids (injected)
2. Surgical splitting of the of Fibrous Bands