Oral Diagnosis: Primary Lesions Quiz

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Simple erythema is caused by localized congestion in the ______ bed.

vascularized

When pressure is applied to erythema, the color ______.

blanches

Extreme cold can cause ______, leading to low blood supply.

vasoconstriction

Aspirin, if held too long in the mouth, can cause a ______ insult to the tissue.

<p>chemical</p> Signup and view all the answers

Erythematous lesions do not ______ under pressure because the RBC is located within the tissue.

<p>blanch</p> Signup and view all the answers

A plexiform neurofibroma can affect the ______ nerve.

<p>trigeminal</p> Signup and view all the answers

An overgrowth of the ______ can be present.

<p>alveolar ridge</p> Signup and view all the answers

Palatal petechiae and ecchymosis patches deserve special attention when they occur as a ______ lesion.

<p>solitary</p> Signup and view all the answers

Trauma from fellatio is seen mostly on the ______ palate.

<p>posterior</p> Signup and view all the answers

Displaced teeth may be observed, along with an enlarged ______ canal.

<p>mandibular</p> Signup and view all the answers

Neurofibromas can result in well-demarcated ______ lesions in the jawbone.

<p>radiolucent</p> Signup and view all the answers

Trauma from severe coughing and vomiting can appear as a ______ red or bluish bruise.

<p>linear</p> Signup and view all the answers

Supplemental ______ may be required prior to dental treatment due to adrenal insufficiency.

<p>corticosteroids</p> Signup and view all the answers

Primary lesions are altered by trauma, mastication, maceration, movement of tissues, and ______.

<p>time</p> Signup and view all the answers

A macule is a flat, well-circumscribed colored area of tissue that varies in size, color, and ______.

<p>shape</p> Signup and view all the answers

Aspirin burns are good examples for ______ burns.

<p>palatal</p> Signup and view all the answers

Petechiae and ecchymosis result from hemorrhages into the ______.

<p>tissue</p> Signup and view all the answers

The seven types of primary lesion that may occur in the oral cavity and skin are macules, papules, nodules, vesicles, pustules, bullae/blebs, and ______.

<p>tumescences</p> Signup and view all the answers

A chemical burn from aspirin is caused by the ______ in it.

<p>acid</p> Signup and view all the answers

A red area that blanches on pressure is a clinical feature of a ______ burn.

<p>chemical</p> Signup and view all the answers

Petechiae and ecchymosis, unlike macules, ______ blanch on pressure.

<p>do not</p> Signup and view all the answers

Systemic Lupus Erythematosus is an ______ disease, in which the immune system attacks its own tissues.

<p>autoimmune</p> Signup and view all the answers

A common sign of SLE is a ______ rash.

<p>butterfly</p> Signup and view all the answers

______ is given to suppress the immune system in SLE.

<p>corticosteroid</p> Signup and view all the answers

Papules are usually associated with ______.

<p>stress</p> Signup and view all the answers

Papules are measured greater than ______ cm.

<p>0.5</p> Signup and view all the answers

Von Recklinghausen's Disease is also known as ______.

<p>Neurofibromatosis 1</p> Signup and view all the answers

Lichen planus, which presents as a white lesion, can have the symptom of an ______ sensation.

<p>itching</p> Signup and view all the answers

______ are elevated, circumscribed solid lesions.

<p>nodules</p> Signup and view all the answers

Fibrous dysplasia of bone is an ______ autosomal dominant condition.

<p>inherited</p> Signup and view all the answers

The most common sign on the skin of Neurofibromatosis 1 are multiple ______.

<p>fibromatosis</p> Signup and view all the answers

Treatment for papules includes removal of the ______ factor.

<p>causative</p> Signup and view all the answers

______ are pigmented hemartomas of the iris.

<p>lisch nodules</p> Signup and view all the answers

______ sign, is a sign of the disease and appears as inguinal and axillary freckles.

<p>crowe’s</p> Signup and view all the answers

Besides bone lesions, cardiovascular and ______ abnormalities also manifest with Von Recklinghausen's disease.

<p>neurological</p> Signup and view all the answers

The ______ is the most common site for pigmentation in Von Recklinghausen's disease.

<p>cheek</p> Signup and view all the answers

If Von Recklinghausen's disease is suspected, treatment should not begin, rather a ______ consultation needs to be sought first.

<p>medical</p> Signup and view all the answers

_______ are larger than vesicles and deep seated, with a roof cavity.

<p>Bullae</p> Signup and view all the answers

A first-degree burn is characterized by erythematous _______ .

<p>macules</p> Signup and view all the answers

Second-degree burns may cause _______ or blebs.

<p>vesicles</p> Signup and view all the answers

A _______ lesion is a focal hyperkeratosis, nicotine stomatitis, lichen planus, leukoplakia, or cheek biting.

<p>oral</p> Signup and view all the answers

_______ refers to a small nipple shaped epithelial tumor.

<p>Papilloma</p> Signup and view all the answers

Flashcards

Macules

Flat, well-defined areas on tissue with varying size, shape, and color, often caused by submucosal hemorrhages.

Papules

Small, raised bumps on the skin or mucous membranes.

Nodules

Larger, solid bumps on the skin or mucous membranes, often deeper than papules.

Vesicles

Small, fluid-filled blisters on the skin or mucous membranes.

Signup and view all the flashcards

Bullae or blebs

Large, fluid-filled blisters on the skin or mucous membranes.

Signup and view all the flashcards

Tumescences

Raised areas on the skin or mucous membranes caused by swelling or inflammation.

Signup and view all the flashcards

Petechiae

Small, pinpoint-sized hemorrhages that do not blanch (turn white) on pressure.

Signup and view all the flashcards

Ecchymosis

Larger areas of bleeding under the skin, resulting in bruising or discoloration, that do not blanch on pressure.

Signup and view all the flashcards

Plexiform Neurofibroma of the Trigeminal Nerve

A benign tumor of the trigeminal nerve, characterized by the presence of impacted or displaced teeth in the mandible and overgrowth of the alveolar ridge.

Signup and view all the flashcards

Radiographic Findings of Plexiform Neurofibroma

Radiographic findings of Plexiform Neurofibroma of the Trigeminal Nerve include an enlarged mandibular canal, mandibular foramen, and mental foramen, causing displacement of teeth.

Signup and view all the flashcards

Periodontitis

Inflammation and destruction of the tissues that support teeth, often associated with Plexiform Neurofibroma of the Trigeminal Nerve.

Signup and view all the flashcards

Peutz-Jeghers Syndrome

A rare genetic disorder that causes increased skin pigmentation around the lips and mouth, as well as intestinal polyps.

Signup and view all the flashcards

Addison's Disease

A condition characterized by low levels of cortisol and other hormones produced by the adrenal glands, which can be exacerbated by stress, like dental procedures

Signup and view all the flashcards

What is Systemic Lupus Erythematosus (SLE)?

A disorder where the immune system mistakenly attacks the body's own tissues.

Signup and view all the flashcards

How is SLE managed?

Corticosteroids are used to suppress the immune system.

Signup and view all the flashcards

What is a butterfly rash?

A common sign of SLE, characterized by a red rash that spreads across the cheeks and nose, resembling a butterfly.

Signup and view all the flashcards

What is adrenocortical insufficiency?

A condition where the adrenal glands are damaged, resulting in insufficient production of cortisol.

Signup and view all the flashcards

What are papules?

Elevated, solid bumps on the skin, greater than 0.5 cm in size, with various shapes and appearances.

Signup and view all the flashcards

What is lichen planus?

A type of papule with a characteristic white lesion, causing itching, burning, and sometimes pain.

Signup and view all the flashcards

What are nodules?

Elevated, circumscribed solid lesions on the skin, typically deeper than papules.

Signup and view all the flashcards

What are some causes of lichen planus?

Metallic drugs like gold salts, arsenic, and mercury, along with anti-inflammatory drugs like indomethacin, and antibiotics such as tetracycline and streptomycin, can trigger lichen planus.

Signup and view all the flashcards

Erythema

A localized redness of the skin or mucous membrane caused by congestion in the blood vessels. It is characterized by blanching when pressure is applied.

Signup and view all the flashcards

Blanching Erythema

A type of erythema where the redness fades when pressure is applied, indicating that the blood is still flowing normally in the blood vessels.

Signup and view all the flashcards

First Degree Burn

A first-degree burn characterized by erythema and pain, usually caused by heat, cold, or chemicals.

Signup and view all the flashcards

Palatal Petechiae

A type of petechiae commonly seen on the palate, often related to trauma or medical conditions.

Signup and view all the flashcards

Thrombocytopenic Purpura

An abnormal increase in the number of petechiae, suggesting a potential medical issue.

Signup and view all the flashcards

Ecchymosis from Fellatio

A type of ecchymosis on the palate caused by trauma from activities like fellatio.

Signup and view all the flashcards

Tumor

A swelling or abnormal enlargement of tissue; it can be caused by inflammation, fluid accumulation, or tumor growth.

Signup and view all the flashcards

Tumefaction

Swelling or edema of tissue; it is often caused by fluid accumulation in the tissues.

Signup and view all the flashcards

Polypoid

A smooth, pedunculated (stalked) epithelial tumor that arises from the mucous surface.

Signup and view all the flashcards

Papilloma

A small, nipple-shaped epithelial tumor with cells covered in finger-like projections; it is considered a neoplastic lesion.

Signup and view all the flashcards

Von Recklinghausen's Disease

An inherited condition characterized by fibrous dysplasia of bone, café-au-lait skin spots, and precocious puberty. It affects bone growth and development, skin pigmentation, and endocrine function.

Signup and view all the flashcards

Fibrous Dysplasia of Bone (FD)

A type of bone disorder found in Von Recklinghausen's Disease, where bone tissue gets replaced by fibrous tissue. This can result in larger, weaker bones, more prone to fractures.

Signup and view all the flashcards

Café-au-lait skin spots

Patches of darker skin pigmentation seen in people with Von Recklinghausen's Disease. They are often larger than freckles.

Signup and view all the flashcards

Lisch Nodules

A sign of Von Recklinghausen's Disease that involves pigmented spots on the iris of the eye, appearing as brown dots.

Signup and view all the flashcards

Precocious Puberty (PP)

A condition characterized by early onset of puberty, often before 8 years old. It can be a symptom of Von Recklinghausen's Disease.

Signup and view all the flashcards

Crowe's Sign

Small, pigmented spots in the armpit and groin areas, often seen in patients with Von Recklinghausen's Disease.

Signup and view all the flashcards

Endocrine system dysfunction

Irregular function of the glands in the endocrine system that regulate growth and hormone production. This can occur in Von Recklinghausen's Disease.

Signup and view all the flashcards

Von Recklinghausen's Disease triad

A combination of signs and symptoms that indicate Von Recklinghausen's Disease. It includes features such as fibrous dysplasia of bone, café-au-lait skin spots, and precocious puberty.

Signup and view all the flashcards

Cardiovascular and Neurological Abnormalities

Abnormal development of the heart and nervous system, which can occur in some individuals with Von Recklinghausen's Disease.

Signup and view all the flashcards

Study Notes

ORAL DIAGNOSIS: PRIMARY LESIONS

  • There are 7 types of primary lesions that can occur in the oral cavity and skin.
  • These lesions may not retain their initial appearance due to alteration by trauma, mastication, maceration, movement of tissues, and time.
  • Examples include macules, papules, nodules, vesicles, papules, bullae or blebs, and tumescences.

MACULES

  • Macules are flat, well-circumscribed colored areas of tissue.
  • They vary in size from pinhead to several centimeters.
  • Colors include red, brown, white, and black.
  • Three types of macules are erythematous, petechiae, and ecchymosis.

Erythematous Macules

  • These are simple erythema caused by localized vascular congestion.
  • The color fades away when pressure is applied.
  • Causes can include thermal burns (hot or cold beverages), extreme cold (frostbite), and chemical burns (aspirin).

Petechiae and Ecchymosis

  • These result from hemorrhages into the tissue.
  • Petechiae are small red spots that do not blanch.
  • Ecchymosis is larger, bluish-red discoloration; also known as bruising.
  • Causes are physical trauma or blunt trauma to the tissue.

Management of Macules

  • Most cases are mild and painless.
  • Analgesics and topical hydrocortisone emollient bases may be prescribed if pain is present.

THREE TYPES OF MACULES

  • Color: Red-Brown-White-Black

Causes of Macules

  • Erythematous: Localized vascular congestion (e.g., simple erythema)

    • Blanches (fades) when pressure is applied.
    • Caused by thermal (burns, hot/cold beverages), extreme cold (frostbite), chemical (acidic, e.g., aspirin)
  • Petechiae/Ecchymosis: Hemorrhages into tissue

  • Petechiae: Small, red spots, do not blanch.

  • Ecchymosis: Bluish-red discoloration (bruising), does not blanch.

  • Caused by physical trauma or blunt force trauma.

Clinical features of Macules

  • Erythematous macules: Red area, tender, painful; blanching when pressure applied.
  • Petechiae/ecchymosis: Red to bluish-brown, do not blanch with pressure, various sizes depending on force of injury.

Management of Macules

  • Self-limiting in most cases.
  • Removal of the cause (e.g., hot liquids, chemicals)
  • Pain management (analgesics).
  • Topical corticosteroids may be used in some cases.

Other Diagnoses

  • Dengue: Petechiae can be a diagnostic indicator.
    • Tourniquet Test used to diagnose.

Additional Information

  • Palate and buccal mucosa are common sites of oral lesions.
  • Self-limiting lesions may persist for several days.
  • Solitary lesions require thorough evaluation for systemic causes.
  • Hemostatic defects (e.g., thrombocytopenia, leukemia) should be assessed if there are continuous episodes.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

More Like This

Use Quizgecko on...
Browser
Browser