Vesiculobullous-Ulcerative Lesions Flashcards Preview

AU '19 - Oral Path Final > Vesiculobullous-Ulcerative Lesions > Flashcards

Flashcards in Vesiculobullous-Ulcerative Lesions Deck (26)
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1
Q

diagnostic considerations

A
  1. duration
  2. pt hx
  3. any systemic symptoms
  4. local factors at site
2
Q

systemic symptoms

A
  1. fever
  2. weight loss
  3. night sweats
  4. malaise (Type B)
3
Q

etiologic categories

A
  1. traumatic/reactive
  2. microbiologic
  3. immunologic
  4. neoplastic
4
Q

traumatic/reactive etiology

A
  1. traumatic ulcer
  2. burns
  3. necrotizing sialometaplasia
5
Q

T/F: traumatic/reactive lesions generally have an abrupt onset

A

true

6
Q

local factors of traumatic ulcer?

A
  1. broken tooth
  2. old restoration
  3. contact irritants
7
Q

cause of burns

A
  1. chemical
  2. iatrogenic
  3. thermal
  4. electrical
  5. radiation
8
Q

necrotizing sialometaplasia lesions are reactive but mimics what?

A

malignancy

9
Q

microbiologic etiology

A
  1. viral
  2. mycobacterial-deep fungal
  3. bacterial
10
Q

viral lesions are mostly what?

A
  1. herpesviruses
  2. HHV-1
  3. HHV-3 (zoster)
11
Q

mycobacterial-deep fungal lesions

A
  1. mycobacterium tuberculosis
  2. histoplasmosis
  3. cocidiodomycosis
  4. blastomycosis
12
Q

bacterial lesions

A
  1. spirochetes
  2. fusiform bacilli
  3. cariogenic bacteria
13
Q

immunologic etiology

A
  1. lichen planus
  2. lichenoid rxns
  3. pemphigus
  4. pemphigoid
  5. Crohn disease
  6. Wegener granulomatosis
14
Q

T/F: lichen planus is unilateral

A

false, bilateral

15
Q

what causes lichenoid rxns?

A

local agent

16
Q

pemphigus lesion

A
  1. DIF

2. SKIN lesions

17
Q

pemphigoid lesion

A
  1. DIF

2. OCULAR lesions

18
Q

Crohn disease

A

GI symptoms

19
Q

Wegener granulomatosis

A
  1. maxillary sinus
  2. gingiva
  3. palate
  4. lung
  5. kidney

…resembles strawberries

20
Q

neoplastic etiology

A
  1. squamous cell carcinoma
  2. salivary gland tumors
  3. lymphoproliferative malignancies
21
Q

squamous cell carcinoma may present as what?

A

as nonhealing ulcer

22
Q

T/F: squamous cell carcinoma is an endophytic lesion

A

false, can be either endophytic OR exophytic lesion

23
Q

salivary gland tumors

A
  1. adenoid cystic

2. PLGA-malignancies

24
Q

lymphoproliferative malignancies

A

especially T-cell lymphoma with palatal ulcer

25
Q

conclusions to dx’ing and tx’ing vesiculobullous-ulcerative lesions

A
  1. good clinical evaluation and judgement
  2. listen to patient hx
  3. don’t tx emperically
  4. biopsy often necessary, special considerations DIF
26
Q

what can make cancers feel and appear better?

A

topical steroids