-
WHITE LESIONS rub off
- I: Acute pseudomembranous candidiasis
- mucous patch
- materia alba
- P: chemical burn (ASA, peroxide)
- toothpaste-associated slough
- denture paste
- A: collapsed bullae
-
Epithelial Thickenings, NOT rub off
- H: white sponge nevus
- HBID hereditary benign intraepithelial dyskeratosis
- Leukoedema
- I: chronic hyperplastic candidiasis
- hairy leukoplakia, (hairy tongue)
- P: frictional keratosis
- surgical scars & grafts
- M: Palifermin® keratosis
- A: lichen planus*, LE, GVH
- N: leukoplakia (idiopathic)
- snuff dipper's leukoplakia (smokeless tobacco keratosis)
- nicotine stomatitis
- actinic keratosis/cheilitis
- submucous fibrosis
- squamous cell CA
-
PAPILLARY LESIONS
- I: papillomas:
- squamous papilloma
- condyloma acuminatum
- verruca vulgaris,
- (multi)focal epithelial hyperplasia
- P: inflammatory Papillary Hyperplasia
- N:verrucous keratosis
- verrucous carcinoma
- Proliferative Verrucous Leucoplakia.
- papillary squamous carcinoma
-
localized juvenile spongiotic gingival hyperplasia
distinctive form of inflammatory gingival hyperplasia in young patients
-
RED &/or VASCULAR
- H: hemangioma
- Sturge-Weber (encephalotrigeminal angiomatosis)
- I: atrophic candidiasis
- median rhomboid glossitis
- P: radiation, xerostomia
- A: allergic contact stomatitis"plasma cell gingivitis"lichenoid “family”
- N: erythroplakia (Dyspl-CIS included in this term)
- Squamous carcinoma
- Kaposi’s Sarcoma
-
petechiae & ecchymoses
- suction, URI, idiopathic,
- mononucleosis, thrombocyte disorders*, clotting disorders*,
- leukemia, strep. Pharyngitis ( & many more)
- hereditary hemorrhagic telangiectasia
- migratory glossitis/ stomatitis
- ______________
- pyogenic granuloma, granulation tissue
-
"red gums"
- pemphigus*, pemphigoid*, lichen planus*
- Chronic ulcerative stomatitis
-
Long Term Ulcers
- I: Bacterial*:(syphilis*, gonorrhea, tuberculosis, actinomycosis)
- specific deep fungal*
- P: chronic trauma, necrotizing.sialometaplasia
- A: major aphthae, Behcet's, Crohn disease
- N: squamous cell carcinoma
- other specific malignancy*
-
Short term ulcers
- aphthous ulcers (minor)
- acute trauma
- Erythema multiforme
- cyclic neutropenia
-
VESICULAR
- I: HSV *, varicella zoster
- Specific Coxsackie infections*, measles
-
BULLOUS/EROSIVE
- H: epidermolysis bullosa (subtypes not necessary)
- A: Antibody-mediated*, type 3*, type 4*
-
PIGMENTED
- use melanoma as appropriate
- Flat/circumscribed
- H: ephelis
- Lentigo: actinic, simple (P-J synd.)
- cafe-au-lait, melanotic macule, junctional nevus
- Flat/ non-circumscribed
- H: physiologic pigmentation
- Sun tanning
- M: Addison disease, Melasma
- drug-related*
- P: Post-inflammatory hyperpigmentation
- smoker's melanosis
-
Not Flat, pigmented
- Acquired melanocytic nevi*, congenital melanocytic nevi
- seborrheic keratosis
- melanoma#: nodular, sup. spreading, acral lentiginous, lentigo maligna
- Dermatosis papulosa nigra
-
melanoma#:
- nodular,
- sup. spreading,
- acral lentiginous,
- lentigo maligna
-
SPECIAL CASES (PIGM.)
- blue nevus, Nevus of Ota, Mongolian spot
- halo nevus________________
- NON-MELANOCYTIC
- amalgam tattoo, heavy metal pigment
-
SKIN & EYE (SELECTED)
- basal cell carcinoma
- Rosacea & rhinophyma, psoriasis
- actinic keratosis, squamous cell carcinoma
- Xanthelasma, pinguecula / pterygium, arcus senilis
- dermatophytoses* know 4 by location
- alopecia areata
- Hypopigmented: vitiligo, pityriasis versicolor, halo nevus
- open & closed & solar comedones
- Acrochordon/skin tag
- urticaria
-
NORMAL Oral
Gingival fibrous nodules, Retrocuspid papilla
-
LUMPS & BUMPS
- Localized Gingival
- pyogenic granuloma
- peripheral giant cell gran..
- peripheral ossifying fibroma
- focal fibrous hyperplasia
- peripheral odontogenic fibroma
-
Away from sulcus (usually)
Parulis, gingival cyst
-
infant lumps
- dental lamina cyst, eruption cyst
- congenital epulis (CGGCT)
- mel. neuroectodermal tumor of infancy
-
Generalized ging. enlargement
- H: fibromatosis gingivae
- I: non-spec. hyperpl. gingiv.
- M: pregnancy, puberty, diabetes
- Meds:*(phenytoin, nefedipine, cyclosporin
- N: leukemic
-
Lateral neck lumps:
- think lymph node things
- H: branchial cleft cyst
- I:non-specific lymphadenitis
- specific infections
- Bacterial: tuberculosis
- cat scratch fever
- N: metastatic carcinoma
- lymphoma
- Hodgkin's **
- non-Hodgkin's**
- carotid body tumor
- lymphangioma
-
Parotid lumps
- H: polycystic disease
- I: non-specific parotitis
- eg. post anesthesia
- specific infections
- mumps, CMV
- P: Obstructive/ sialolithiasis
- M: Sialadenosis*
- obesity, bulemia
- alcoholism, diabetes, others*
- A: Sjogren Syndrome
- N: pleomorphic adenoma
- papillary cystadenoma lymphomatosum (Warthin tumor)
- oncocytoma
- muco-epidermoid carcinoma
- adenoid cystic carcinoma
- malignant mixed tumor
- acinic cell carcinoma
-
Limit to Midline neck
- thyroglossal duct cyst
- thyroid tumor*
- dermoid cyst
- goiter
-
Limit to Palate
- Torus palatinus
- incisive canal cyst
- abscess
-
Limit to Buccal mucosa &/or lips
Canalicular adenoma
-
Limit to Tongue
lingual thyroid
-
-
Lumps in general
- cysticercosis (Taenia solium)
- benign sal gl tumors*
- malignant sal gl tumors*
- mucocele
- salivary duct cyst
- amyloid nodule
- granular cell tumor
-
Soft tissue lumps (misc)
- Fibroma, fibrosarcoma,
- neuroma (MEN2b), traumatic neuroma,
- neurofibroma (solitary), neurofibromatosis
- granular cell tumor, schwannoma,
- neurogenic sarcoma
- leiomyoma, leiomyosarcoma
- rhabdomyoma, rhabdomyosarcoma
- lipoma, liposarcoma
- hemangioma, lymphangioma, angiosarcoma, (others above)
- Choristoma (be specific),
- myositis ossificans: heterotopic ossification (calcification) of muscle.
-
Transient lingual papillitis
fungiform papillary glossitis
-
Candida
- white, rub: acute pseudomembranous candidiasis
- white, no rub: chronic hyperplastic candidiasis
- red: atrophic candidiasis, median rhomboid glossitis
-
benign salivary
- pleomorphic adenoma
- Warthin tumor (papillary cystadenoma lymphomatosum)
- Oncocytoma
- Papillary ductal adenoma (papilloma)
-
malignant salivary
- Mucoepidermoid carcinoma
- Adenoid cystic carcinoma
- carcinoma ex pleomorphic adenoma
- Acinic cell carcinoma
-
thyroid tumors
- Thyroid adenoma
- papillary, follicular, medullary or anaplastic
-
petechiae & ecchymoses
- suction
- URI (upper respiratory infection)
- idiopathic
- mononucleosis
- thrombocyte disorders*
- clotting disorders*
- leukemia,
- strep. Pharyngitis ( & many more)
-
lingual papillae
- fungiform
- filliform
- foliate
- cirvumvallate
-
dermatophytes
tinea: capitus, corporis, cruris, pedis
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