-
area distinguished by color differentiation from adjacent tissue; flat (freckles)
macule
-
small circumscribed lesion usually < 1cm in diameter elevated above surface of
normal tissue.
papule
-
circumscribed elevated lesion > 5mm in diameter with serous fluid, looks like a
blister.
bulla
-
various sized round elevations containing pus
pustules
-
base of a lesion that is flat or broad instead of stem-like.
sessile
-
attached by a stem-like or stalk base (mushroom
pedunculated
-
feeling of area with fingers. [soft, firm, semifirm, fluid filled
palpation
-
wrinkled tin roof
corrugated
-
one compartment or unit that is well defined
uniocular
-
ill defined or spread out
diffuse
-
-
malignant tumors? (5)
melanoma, sarcoma, carcinoma, lymphoma, and multiple myeloma
-
these is a clinical dx which is very common
tori geographic tounge
-
radiographic dx?
periapical pathosis (PAP)
-
historical dx that occurs in black women, 60's
- periapical cental dysplasia
- (cementoma)
-
laboratory dx, elevated serum alkaline phosphatese level
paget's disease
-
use of biopsy specimen, MAIN component of definitive dx?
microscopic dx
-
rediolucency scalloping around roots
-lesion opened surgically – empty void of bone (fills in)
traumatic bone cyst
-
entrapped salivary gland tissue
developmental anomaly – bilateral
well – circumscribed
lingual mand. Bone concavity (Stafne’s bone cyst)
-
aspiration of lesion
differentiation of vascular lesion
-
bread and butter,
use of above procedures to determine FINAL diagnosis
May use all parts or specific parts
case study
differential dx
-
Clusters of ectopic sebaceous glands
lips and buccal mucosa
Fordyce Granuules
-
palatal tori or maxillary tori
occur more commonly in women
Torus Palatinus
-
usually bilateral
Mandibular tori
-
pigment that gives color to skin, eyes, hair, mucosa, and ging
melanin
-
prominent veins located on ventral/lateral surfaces of tongue
lingual varicosites
-
sessile nodule on gingival margin of the lingual aspect of mand.
canines
retrocuspid papilla
-
“white line” on buccal mucosa along occlusal plane
-bilateral usually
prominent with bruxism or clenching
linea alba
-
generalized opalescence of buccal mucosa (grayish-white)
most commonly in Afro-Americans
disappears when mucosa is stretched
Leukoedema
-
thyroid tissue that has become entrapped in the tissues of the tongue
more common in females – hormonal
located as a mass in midline of dorsal of tongue in the area of the foramen caecum
lingual thyroid nodule
-
flat or slightly raised oval or rectangular erythematous area in the midline of dorsal surface of tongue
median rhomboid glossitis
-
"benign migratory glossitis"
Gerographic tounge
-
filiform papillae become elongated and appear white, yellow, black or brown
hairy tounge
-
short duration, arises quickly
acute
-
movement of WBC's to area of injury
chemotaxis
-
passage of WBC's through endotheial wall of small blood vessels
emigration
-
inflammatory fluid; serum protiens and leukocytes (pus)
exudate
-
abnormal multiplication or increase in the number of normal cells
hyperplasia
-
enlargement of tissue or organ due to an increase in the size of the cell, not the number of cells
hypertrophy
-
temporary increase in # of WBC’s circulating in the blood
leukocytosis
-
or swelling of a lymph node
lymphadenopathy
-
occurs in the early stage of inflammation; WBC’s occupy the periphery of a blood vessel and adhere to endothelial cells lining the blood vessel
margination
-
the adherence of WBC’s to the endothelial cells lining an injured blood vessel
pavementing
-
containing or forming pus
purulent
-
restoration of damaged or diseased tissue
repair
-
having a fluid or watery consistency
serous
-
localized swelling of tissue due to edema, accompanied by sever itching
wheal
-
-
-
-
continued inflammation and longer, wks mos
chronic
-
redness heat swelling pain and loss of nomal tissue function
cardinal signs of inflammation
-
increase in # of WBC's
leukocytosis
-
plasma fluids & proteins that leave the blood vessels & enter the surrounding tissues.
exudate
-
mainly plasma fluids/protiens thin clear
serous
-
tissue debris/many WBC's and serous thick/colored
purulent
-
clincal sign of edema(swelling)
wheal
-
a formation of a natural drainage passage boring through tissue allowing
drainage of exudates (Buccal Parulus)
fistula
-
movement of WBC’s to periphery of vessel walls
margination
-
linng of vessel walls with WBC's
pavementing
-
escape of WBC from vessels of plasma fluids that enter tissue
emigration
-
causes of emigration:
- *inc blood flow causing increase pressure
- *opening of junctions of endothelial cells lining blood vessel
- *inc mobility of WBC’s
- *chemical mediators causing directional movement of WBC’s (chemotaxis)
-
also called PMN’s (polymorphonuclear leukocyte)
neutrophils
-
60-70% of WBC pop.
neutrophils
-
what are the 3 systems of chemcial mediators
kinin system, comlement system, clotting mechanism
-
– involved in chronic inflammation & immune response
LYMPHOCYTE/PLASMA CELL
-
ingestion of foreign substances by WBC's
phagocytosis
-
become macrophages after emigration
monocytes
-
start or enhance the inflammatory response
chemical mediators
-
-Mediates inflammation by causing inc dilation of blood vessels at the site inc permeability of blood vessels by widening gaps between endothelial cells
-Early phase of inflammation
kinin system
-
2nd cell to emigrate
aka macrophage
monocyte
-
-sequential cascade of plasma proteins that are present in the blood in an activated form
- Release of histamine (mast cells)
complement system
-
clots bld and helps w repair, platelets
clotting mechanism
-
fever producing substance
pyrogens
-
the body’s final defense mechanism in its attempt to restore injured tissue to its original state
repair
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