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Record keeping of intraoral exams allows space for?
- complete descriptions of lesions observed
- successive examinations at follow up and maintenance appointments
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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
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When a lesion is first seen, how is its location noted?
in relation to adjacent structures
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What are 4 ways to descrige the location and extent of a lesion?
- localized
- generalized
- single lesion
- multiple lesions
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What are 2 characteristic types of multiple lesions?
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lesion limited to a small focal area
localized
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lesion that involves most of an area or segment
generalized
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one lesion of a particular type with a distinct margin
single lesion
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more than one lesion of a particuar type
multiple lesion
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multiple lesions that are discrete, not running together; may be arranged in clusters
separate
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multiple lesions that are close to each other with margins that merge
coalescing
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name 4 physical characteristics of lesions discussed in class
- size and shape
- color
- surface texture
- consistency
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Length and width is recorded in__________
millimeters
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true or false. The height of an elevated lesion may be significant
true
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What is used to measure the size of a lesion?
probe
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What are the most common colors seen in oral lesions?
- red
- pink
- white
- red and white
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What are less common colors seen in oral lesions?
- blue
- purple
- gray
- yellow
- black
- brown
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a lesion may have a _________or_____________surface
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name 5 descriptive terms that describe the surface texture of an oral lesion
- papillary
- verrucous or wart like
- fissured
- corrugated
- crusted
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name 5 descriptive terms that describe the consistency of an oral lesion
- soft
- spongy
- resilient
- hard
- indurated
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most lesions can be classified readily as____________, ______________, or_________ as they relate to the normal level of the skin or mucosa
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lesion above the plane of the skin or mucosa. Considered blister form, or nonblister form
elevated lesion
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lesions that contain fluid and are usually soft and translucent
blisterform elevated lesion
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what are 3 types of blisterform elevated lesions?
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a small (1 cm or less in diameter) circumscribed lesion with a thin surface covering. it may contain serum or mucin and appear white
vesicle
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may be more or less than 5 mm in diameter. It contains pus. Pus gives it a yellowish color
pustule
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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
bulla
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solid elevated lesions that do not contain fluid
nonblisterform elevated lesion
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Name 4 types of nonblisterform elevated lesions
- papules
- nodules
- tumors
- plaques
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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
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a small (pinhead to 5 mm in diameter) nonblisterform lesion, solid lesion that may be pointed, rounded, or flat-topped
papule
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elevated nonblisterform lesion that is bigger than a papule (greater than 5 mm in diameter, but less than 1 cm)
nodule
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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
tumor
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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
plaque
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lesion bellow the level of the skin or mucosa.
depressed lesion
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The outline of a depressed lesion may be__________or____________, and there may be a_________or_____________border around the depression.
- regular
- irregular
- flat
- raised
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the depth of a depressed lesion is usually described as________or________
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How deep is a deep depressed lesion?
greater than 3 mm deep
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What are 2 types of depressed lesions?
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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)
ulcer
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a shallow, depressed lesion that does not extend through the epithelium to the underlying tissue
erosion
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lesion on the same level as the normal skin or oral mucosa.
flat lesion
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Flat lesions may occur as___________or______________lesions, and hav a___________or_____________form.
- single
- multiple
- regular
- irregular
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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.
macule
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true or false. freckles are macules
true
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true or false. Erosion is bigger than a plaque
true
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true or false. Bullas are usually filled with blood more than other fluids
true
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