CPC Revision: Oral Medicine 1 PDF

## CPC Revision: Oral Medicine 1 ### Leukoderma - A patient is complaining of white patches on the buccal mucosa that cannot be rubbed off and disappear upon stretching the mucosa. - White patches exhibit normal physical properties. - **Clinical Diagnosis:** Leukoderma ### White Spongy Nevus -...

## CPC Revision: Oral Medicine 1 ### Leukoderma - A patient is complaining of white patches on the buccal mucosa that cannot be rubbed off and disappear upon stretching the mucosa. - White patches exhibit normal physical properties. - **Clinical Diagnosis:** Leukoderma ### White Spongy Nevus - **Image:** A close-up of an individual's mouth showing white patches on the inner cheek. ### Hereditary Benign Intraepithelial Dyskeratosis "Witkop's Disease" - A 14-year-old boy presented with bilateral grey white thickening of the buccal mucosa history from the parent revealing that the boy had the lesion since birth. His younger brother also has similar lesions. - **Clinical Diagnosis:** Hereditary Benign Intraepithelial Dyskeratosis "Witkop's Disease" ### Dyskeratosis Congenita - **Image:** Four separate images showing different stages of the same condition. - **Image details:** - A1: A close-up of an individual's mouth showing white patches on the inner cheek, near the gum line. - A2: A close-up of an individual's lip, showing white patches. - B1: A wider shot, showing an individual's entire mouth with white patches covering the inner cheeks. - B2: A close-up of the tongue, showing white patches on both the top and bottom of the tongue. ### Frictional Keratosis - All of the following are consistent with the manifested alteration on buccal mucosa **EXCEPT**: - Bilateral linear elevation at the level of occlusal line - Diagnosis is based on clinical grounds - It might appear exaggerated due to habitual cheek biting - It has an abnormal consistency - Asymptomatic ### Cheek Biting (Morsicatio) - **Image:** Two separate images, showing close-ups of the inner cheeks, with the area where the cheek has been bitten highlighted. - **Question:** The patient is wearing an ill-fitting removable complete denture. What is the most probable diagnosis of the lesion shown? - **Question:** What is the management of such a case? ### Uremics Stomatitis - **Image:** Close-up of the inner cheek, showing red patches. - **Question:** A 25-year-old male who had a toothache that was recently filled with a Class 5 filling. What question should you ask this patient to find out about the vestibular lesion? - Did you scratch yourself? - Did you eat rough food? - Did you rinse with anything caustic? - Did you place aspirins in the area? ### Actinic Keratosis (Cheilitis) - **Image:** A close-up of an individual's lips, showing white patches that are raised, and slightly red. ### Nicotinic Stomatitis - **Image:** A close-up of an individual's mouth, showing red patches on the inner cheek, and back of the tongue. ### Hairy Leukoplakia - A heavy smoker male patient aged 45 years came for scaling. Upon examination, this condition was noticed. - **Question:** Mention your diagnosis? - **Question:** What is the treatment? - **Question:** Is it reversible? - Which one of the following is true about the observed lesion: - Association with HIV virus infection and is commonly seen on the dorsum surface of the tongue. - Association with HIV virus infection, and is commonly seen on the lateral sides of the tongue. - Usually caused by Candida infection - Always associated with trauma on the lateral sides of the tongue. ### Thrush (Pseudomembranous Candidiasis) - A 20-year-old male patient reporting history of antibiotic treatment for one week. - **Question:** What is the clinical description of the lesion? - **Question:** Treatment of choice? ### Denture Sore Mouth (Chronic Atrophic Candidiasis) - A patient took corticosteroid therapy for a prolonged time after an operation, then a diffuse scrapable candidal infection appeared in her oral mucosa. - **Question:** The most probable diagnosis is: - **Question** The patient has been edentulous for many years. What is the lesion? What is the cause and what is the stage? ### Angular Cheilitis - An edentulous patient presents with such erythematous manifestation involving the denture bearing area and contacting surfaces. - **Question** Identify the untrue statement in the following: - Main differential diagnosis is contact stomatitis and denture sore mouth - Patch test confirm the diagnosis - It is considered antibody mediated hypersensitivity reaction - Mostly, reaction is due to denture base material - Therapy includes antihistaminic ### Median Rhomboid Glossitis - A patient presented to the clinic with anemia, he has fissures at the commissure of his mouth. - **Question:** Treatment beside anemia is: - Antibiotics - Corticosteroids - Antifungal - The patient was HIV positive. The most probable diagnosis is: - Hairy leukoplakia - Median rhomboid glossitis - Chronic candidiasis - **Image:** Two separate images of a patient's tongue: - A close up of the tongue showing a red oval patch on the center of the tongue, with white around the oval patch. - A wider shot of the tongue showing a red oval patch on the center of the tongue. ### Leukoplakia - A 50 year old male patient, heavy smoker with marked poor oral hygiene complaining of a white non-scrapable sublingual patch that has been detected since one year. No history of drug intake. Patient appears to be systemically healthy. - **Question:** This lesion is considered to be serious because: - The lesion is white - Of its location - The patient is old - It is not scrapable - This lesion is highly susceptible to be malignant because it is: - Proliferative white lesion - Mainly located in the lower ridge - Extending to the floor of the mouth - (A)+(C) - (A)+(B)+(C) - **Image:** Close up of a tongue, showing a white patch on the bottom of the tongue, near the gum line. ### Oral Submucous Fibrosis - **Image:** Three separate images of an individual's mouth: - A wide shot of the inside of the mouth, showing a large white patch on the inner cheek, that appears to be pulling the cheek back. - A close-up shot of the inner cheek, showing the white patch. - A close-up of the tongue, also showing a white patch. ### Speckled Leukoplakia - **Image:** A close-up of the tongue showing a white patch with red spots. ### Erythroplakia - **Image:** A close-up of the inner cheek showing a red patch. ### Lichen Planus - **Image:** Two seperate images: - A close up of an individual's mouth, showing white patches on the inner cheeks and tongue. - A close-up of an individual's tongue, showing white patches on the tongue. - Lichen planus in the buccal mucosa and tongue manifest 3 variants. - **Question:** What are these variants? - Errosive, popular, and plaque - Reticular, papular, and plaque form - Atrophic, reticular, and papular - Ulcerative, reticular, and papular - - **Image:** Two images of an individual's mouth, showing patches of white on the inner cheek. - A 45-year-old female patient presented for scaling. The following lesion was discovered. - **Question:** what is the diagnosis and describe the lesion. - **Question:** What is the treatment of such a case? <start_of_image> - **Image:** Two images: - A close up of an individual's mouth, showing a red patch on the inner cheek. - A close up of an individual's tongue, showing white patches on the tongue. - A 50 year old female patient presented to the clinic with severe pain, a red & white lesion was observed related to bucal mucosa bilaterally. Patient also complains of itching skin lesions. - **Question:** Differential diagnosis? - **Question:** Diagnosis + treatment? ### Koebner Phenomenon - **Image:** Two separate images, showing patches on the inner cheek. - This condition may be associated with: - reticular lichen planus - erosive lichen planus - erythema multiforme - leukoplakia ### Hairy Tongue - **Image:** A close-up of an individual's tongue showing a hairy tongue. - A 40 year old female patient Complains of a painful erosive lesion occurring bilaterally in the buccal mucosa. The lesion raised few months ago, with some striations. - **Question** All of the following are true about this lesion **EXCEPT**: - It is associated with skin lesions - It is acute in onset - It is premalignant - Might be Associated with pain - **Image:** Two separate images showing a hairy tongue. - This patient came to the clinic with the elongated pigmented tongue papillae. - **Question:** All of the following is true about this lesion EXCEPT - Unknown etiology - Diffuse pigmentation - Is considered an endogenously produced pigmentation - chromogenic bacteria play a role - This lesion is common to occur in hospitalized individuals ### Geographic Tongue (Benign Migratory Glossitis) - **Image:** Three separate images of the individual's tongue, showing the patches on the tongue. - This patient is concerned by the appearance of his tongue, and gives a history of changing location of the color. - **Question:** What is the diagnosis? - **Question:** Mention the management of such conditions. - **Image:** A close-up of an individual's tongue, showing the patches. - **Image:** A close-up of an individual's tongue, showing the patches. - **Image:** A close-up of an individual's tongue, showing the patches. - A 41-year-old male patient complaining of red, irregular, tongue lesions. The lesions are free from tongue papilla and exhibit changing in location. Current blood analysis revealed normal blood picture. - **Question:** The expected diagnosis is..... - **Image:** A close-up of an individual's tongue, showing the patches. - **Question:** Mention the diagnosis and etiology of the manifested lesion.