DH Theory

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DH Theory
2010-12-14 16:07:37
Chapter ten

intraoral exams
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  1. Record keeping of intraoral exams allows space for?
    • complete descriptions of lesions observed
    • successive examinations at follow up and maintenance appointments
  2. In questioning the patient about the history of their oral lesion, what 5 things are you trying to find out?
    • if the pt knows or has know about the lesion
    • when it was first noticed
    • if it is recurring
    • duration, and changes in size and appearance
    • symptoms, does it hurt
  3. When a lesion is first seen, how is its location noted?
    in relation to adjacent structures
  4. What are 4 ways to descrige the location and extent of a lesion?
    • localized
    • generalized
    • single lesion
    • multiple lesions
  5. What are 2 characteristic types of multiple lesions?
    • separate
    • coalescing
  6. lesion limited to a small focal area
  7. lesion that involves most of an area or segment
  8. one lesion of a particular type with a distinct margin
    single lesion
  9. more than one lesion of a particuar type
    multiple lesion
  10. multiple lesions that are discrete, not running together; may be arranged in clusters
  11. multiple lesions that are close to each other with margins that merge
  12. name 4 physical characteristics of lesions discussed in class
    • size and shape
    • color
    • surface texture
    • consistency
  13. Length and width is recorded in__________
  14. true or false. The height of an elevated lesion may be significant
  15. What is used to measure the size of a lesion?
  16. What are the most common colors seen in oral lesions?
    • red
    • pink
    • white
    • red and white
  17. What are less common colors seen in oral lesions?
    • blue
    • purple
    • gray
    • yellow
    • black
    • brown
  18. a lesion may have a _________or_____________surface
    • smooth
    • irregular
  19. name 5 descriptive terms that describe the surface texture of an oral lesion
    • papillary
    • verrucous or wart like
    • fissured
    • corrugated
    • crusted
  20. name 5 descriptive terms that describe the consistency of an oral lesion
    • soft
    • spongy
    • resilient
    • hard
    • indurated
  21. most lesions can be classified readily as____________, ______________, or_________ as they relate to the normal level of the skin or mucosa
    • elevated
    • depressed
    • flat
  22. lesion above the plane of the skin or mucosa. Considered blister form, or nonblister form
    elevated lesion
  23. lesions that contain fluid and are usually soft and translucent
    blisterform elevated lesion
  24. what are 3 types of blisterform elevated lesions?
    • vesicle
    • pustule
    • bulla
  25. a small (1 cm or less in diameter) circumscribed lesion with a thin surface covering. it may contain serum or mucin and appear white
  26. may be more or less than 5 mm in diameter. It contains pus. Pus gives it a yellowish color
  27. large (more than 1 cm). It is filled with fluid, usually mucin or serum, but may contain blood. The color depends on the fluid content
  28. solid elevated lesions that do not contain fluid
    nonblisterform elevated lesion
  29. Name 4 types of nonblisterform elevated lesions
    • papules
    • nodules
    • tumors
    • plaques
  30. What are the two different attachment types for nonblisterform elevated lesions?
    • pedunculated attached by a narrow stalk or pedicle
    • sissle has a base as wide as the lesion
  31. a small (pinhead to 5 mm in diameter) nonblisterform lesion, solid lesion that may be pointed, rounded, or flat-topped
  32. elevated nonblisterform lesion that is bigger than a papule (greater than 5 mm in diameter, but less than 1 cm)
  33. elevated nonblisterform lesion that is 2 cm or greater in width. It means a general swelling or enlargement and does not refer to neoplasm, either benign or malignant
  34. nonblisterform elevated lesion that is a slightly raised lesion with a broad, flat, top. It is usually larger than 5 mm in diameter with a "pasted on" appearance
  35. lesion bellow the level of the skin or mucosa.
    depressed lesion
  36. The outline of a depressed lesion may be__________or____________, and there may be a_________or_____________border around the depression.
    • regular
    • irregular
    • flat
    • raised
  37. the depth of a depressed lesion is usually described as________or________
    • superficial
    • deep
  38. How deep is a deep depressed lesion?
    greater than 3 mm deep
  39. What are 2 types of depressed lesions?
    • ulcer
    • erosion
  40. make up most of depressed lesions, represent a loss of continuity of the epithelium. Center is often gray to yellow, surrounded by a red border. It may result from the rupture of an elevated lesion (vesicle, pustule, or bulla)
  41. a shallow, depressed lesion that does not extend through the epithelium to the underlying tissue
  42. lesion on the same level as the normal skin or oral mucosa.
    flat lesion
  43. Flat lesions may occur as___________or______________lesions, and hav a___________or_____________form.
    • single
    • multiple
    • regular
    • irregular
  44. a circumscribed area of flat lesion that is not elevated above the surrounding skin or mucosa. It may be identified by its color, which contrasts with the surrounding normal tissues.
  45. true or false. freckles are macules
  46. true or false. Erosion is bigger than a plaque
  47. true or false. Bullas are usually filled with blood more than other fluids