White +Yellow Lesions
white curd like lesion on SP after using steroid inhaler
Pseudomembranous Candidiasis
Asymptomatic bulging veins on the ventral tongue
Varicose Vein
Ulcer on the buccal mucosa has been presentfor 2+ weeks. What is the management?
Incisional biopsy
Describe Moderate Dysplasia and it's management.
Up to the mid-2/3 of the epithelium.
close follow up
surg removal/laser ablation
what type of medication is Acyclovir
anti-viral
Grey lesion seen most frequently on Bu mucosa in African Americans; goes away when stretched
Leukoedema
what type of dysplasia does Erythroplakia show on biopsy
moderate-advanced
Following local anesthesia, patient developed a necrotic lesion on his palate. What could be the dx?
Anesthetic Necrosis
What size of lesions can you use excisional biopsy on?
Small lesions (<1cm)
if ppt has angular cheilitis, why would you also want to give oral suspension in addition to a nystatin ointment?
because angular cheilitis can originate from in the mouth so you want to cover all the bases
calcified structures that develop w/in salivary glands due to debris
Sialolithiasis "Salivary Stones"
What type of papilla is lost in Median Rhomboid Glossitis
filiform papilla
Why is SCC often missed in the early stage?
Because it is nonpainful
Name lesions that would be on the differential diagnosis for Lichen Planus
Lichen Planus
Lichenoid Mucositis (hypersensitivity_
Lupus
GVHD
Drug rxn
Amalgam
which medication is most often used to treat SLE
-hydroxychloroquine
-Quinocrine
Malignant Transformation Potential in Order (9 of them)
PVL
erythroplakia
oral submucous fibrosis
erythroleukoplakia
granular leukoplakia
actinic cheilitis
smooth, thick leukoplakia
smokeless tobacco keratosis
smooth, think leukoplakia
X is one of the most common tumor of infancy. is red/blue in color and firm to palpation. What is X and what happens in the initial phase?
Hemangioma-
proliferative phase; lasts 6-12 months
5 y/o patient is brought in because of fever and malaise. Intra-orally, he presents with multiple painful lesions and swollen gingivae. How may you manage this patient
Anti-virals
Aphthous ulcers- How many lesions in each episode; minor, major, herpetiform?
Minor: 1-5
Major: 1-10
Herpetiform: up to 100
What type of medication is methotrexate
Immunosuppresive drug
patient with ulcerative colitis has yellowish pustules on the oral mucosa
Pyostomatitis Vegetans
What are the diagnostic requirements for Neurofibromatosis 1 (NF1)
need 2/7:
- cage au lalt spots
-axillary or inguinal freckling (crowe sign)
-lisch nodules
-neurofibromas
-optic nerve glioma
-bone defects
-family hx of NF1
what does DIF look like for PV
Chicken wire pattern; intra-epithelial separation "Acantholysis"
What would be the staging for SCC is there was no metastatic spread but there was involvement of the lymph nodes? (HINT: think TNM classification)
Stage IV
What is the FDA approved treatment for Pemphigus Vulgaris
Rituximab