Medical History. Oral Medicine and General Medicine

Size: px
Start display at page:

Download "Medical History. Oral Medicine and General Medicine"

Transcription

1 Medical History Oral Medicine and General Medicine

2 Gingivitis herpetica acuta

3

4

5

6

7 NECROTIZÁLÓ SIALOMETAPLASIA

8 SOOR

9 Medical History The life expectancy has recently increased and increasing By dental prevention programmes, the number of teeth also stay in elderly people. More and more patients visit the dentists with oral mucosal diseases. Dentists need expertise to recognise these diseases.

10 Origin of the mucosal complaints Oral complaints in elderly people could occur due to decreased normal turnover, or impaired regenerative potential It is epithelial atrophy Symptoms of general medical diseases Side effect of drugs taken for another disease Oral mucosal diseases

11 General Medical History Oral History

12 General Medical History The data of medical history (personal, familial and social) help in the summarisation of the patients complaints and help in the diagnosis. The printed and computerised data sheets facilitates an easier communication between doctor and patient. The important and not so important answers must be selected by the health care professionals

13 General Medical History If the dentist spends not enough time to listen to patients complaints will close a gate, which cannot be opened later The more complex medical problem, the more detailed medical history is needed. The data of medical history must be stored for a long period of time (at least for 5 years).

14 MEDICAL HISTORY Dentists must be careful in evaluating medical history Each prejudication cause misdiagnosis. Dentists must know many treatment protocols in general medicine and be familiar with the drugs taken by the patients at home.

15 The role of dentists in the recognition of general medicine diseases.

16 The role of dentists in the recognition of general medicine diseases. There are a lot of general medical diseases, which have early oral signs and symptoms: e.x. infectious diseases in the childhood. Scarlet: Red strawberry tongue. Whooping cough: (Pertussis) Lingual frenum erosions.

17 Haematological diseases The oral symptoms of RBC production are nonspecific. Iron deficient anaemia frequently can develop in young female and elder male. Pernicious type anaemia also shows early oral symptom (Möller-Hunter glossitis). Plummer-Vinson syndrome (iron deficient anaemia, oral and oesophageal epithelial atrophy) Iron deficient anemia Möller-Hunter glossitis

18 Diseases of leukopoietic system The role of dentist is more important in the recognition of leukopoietic system diseases. In agranulocytosis and acute leukemia ulcers develop migrating into the deep. In chronic myeloid leukemia damaged leukocytes are stored in parenchymal organs ex.. in the gingiva ( hyperplastic gingivitis).

19 Neuroendocrine diseases Many endocrine diseases have oral symptoms with high diagnostic value. In Addison disease melanotic plaques can be found on the oral mucosa. But the most important is: Diabetes Mellitus.

20 Diabetes Mellitus. As a result of decreased INSULIN level Produced by the beta cells in Langerhans islands of pancreas. Macrophages in the mandibular and maxillary bone differentiate into osteoclasts, the number of Gramnegative bacteria increased. In many cases decline the oral hygiene.

21 Lichen Oris According to Grynspan et al. (1963) lichen oris can be found in 36,4% of diabetic patients. (trial of Grynspan syndrome - Diabetes Mellitus - Oral Lichen Planus - Hypertension Among our own patients 51,6% have had sugar level on the upper border or over.

22 Candida Albicans infection in diabetic patiens The upper lobe of Parotid gland excrete the saccharose from circulation. By this way in the mouth of the diabetes patients particularly Candida infection can be found.

23 Autoimmune diseases Most autoimmune diseases are treated by glucocorticosteroid or other immunosuppressive drugs. Virus and fungal infections can develop in the patients oral cavity as a side effect. These diseases must treated by dentist. HSV infection in the oral cavity

24 Efflorescence Primary Secondary Tertiary

25 Morphological characterization of skin and mucosal diseases Efflorescence's are morphological criteria of diseases. They could be characterized on the basis of their: - color, - size, - form - consistency The secondary efflorescence's develop from primary form.

26 Circumscribed, flat discoloration that maybe brown, blue, red or hypo pigmented. Macule (primary lesion)

27 Papule (primary lesion) An elevated solid lesion up to 0.5 mm in diameter; color varies: papules may become confluent and form plaque. LICHEN RUBER PLANUS

28 A circumscribed, elevated, superficial, solid lesion more than 0.5 mm in diameter often formed by confluence of papules. Plaque (primary lesion)

29 Nodule (primary lesion) Circumscribed, elevated solid lesion more than 5 mm in diameter, a large nodule is referred as TUMOR.

30 Circumscribed collection of leukocytes and free fluids, which varies in size. Pustule (primary lesion)

31 Blisters (Vesicula-Bulla, primary lesio) Vesicle: Circumscribed, collection of free fluid up to 0.5 cm in diameter. Bulla: A circumscribed collection of free fluid more than 0.5 cm in diameter.

32 Herpes simplex Erythema Exudativum Multiforme Gingivostomatitis Herpetica Herpes zoster

33 Herpes simplex Eryíthaema Exudativum Multiforme Gingivostomatitis Herpetica Herpes zoster

34 A firm edematous plaque resulting from infiltration of the dermis with fluid: wheals are transient and may last only for a few hours. Wheal (hive) (primary lesion)

35 Excess, dead epidermal cells that are produced by abnormal keratinization and shedding. Scales (secunder lesion)

36 Crust (secondary lesion) A collection of dried sera and cellular debris: Scab.

37 Focal loss of epidermis: Erosion (secondary lesion) erosion do not penetrate below the dermoepidermal junction and therefore heal without scaring.

38 Ulcer (secondary lesion) A focal loss of epidermis over the basal membrane region. Heal with scar. Sutton aphtae

39 Fissure (secondary lesion) A linear loss of epidermis and dermis with sharply defined nearly vertical walls. Angular Cheilitis

40 Atrophy (secondary lesion) Depression in the skin resulting from thinning of epidermis and dermis.

41 Scar (secondary lesion) An abnormal formation of connective tissue implying dermal damage; after injury or surgery scars are initially thick and pink but with time become white and atrophic.

42 Recognition of efflorescence's helps doctors to diagnose a disease. the

Conflicts. Objectives. University of Texas Health Science Center at San Antonio. Pediatrics Grand Rounds 24 August Pediatric Dermatology 101

Conflicts. Objectives. University of Texas Health Science Center at San Antonio. Pediatrics Grand Rounds 24 August Pediatric Dermatology 101 Pediatric Dermatology 101 John C. Browning, MD, FAAD, FAAP Conflicts Investigator: ViroXis Advisor: ViroXis Advisory Board: TopMD Speaker: Galderma Objectives Understand the meaning and importance of cutaneous

More information

Oral Medicine. Dr. Qianming Ian CHEN

Oral Medicine. Dr. Qianming Ian CHEN Oral Medicine Dr. Qianming Ian CHEN ORAL MEDICINE Oral medicine is the specialty of dentistry that is concerned with the oral health care of medically compromised patients and with the diagnosis and nonsurgical

More information

Skin lesions & Abrasions

Skin lesions & Abrasions Skin lesions & Abrasions What Are Skin Lesions? A skin lesion is a part of the skin that has an abnormal growth or appearance compared to the skin around it Types of Skin Lesions Two types of skin lesions

More information

LESIONS OF THE ORAL CAVITY ORAL CAVITY. Oral Cavity Subsites 4/10/2013 LIPS TEETH GINGIVA ORAL MUCOUS MEMBRANES PALATE TONGUE ORAL LYMPHOID TISSUES

LESIONS OF THE ORAL CAVITY ORAL CAVITY. Oral Cavity Subsites 4/10/2013 LIPS TEETH GINGIVA ORAL MUCOUS MEMBRANES PALATE TONGUE ORAL LYMPHOID TISSUES LESIONS OF THE ORAL CAVITY David I. Kutler, MD, FACS Associate Professor Division of Head and Neck Surgery Department of Otolaryngology HNS Weill Cornell Medical Center ORAL CAVITY LIPS TEETH GINGIVA ORAL

More information

Integumentary System (Skin) Unit 6.3 (6 th Edition) Chapter 7.3 (7 th Edition)

Integumentary System (Skin) Unit 6.3 (6 th Edition) Chapter 7.3 (7 th Edition) Integumentary System (Skin) Unit 6.3 (6 th Edition) Chapter 7.3 (7 th Edition) 1 Learning Objectives Identify the major components (anatomy) of skin Differentiate between the two types of skin glands Explain

More information

Clinical Mucosal Immunology

Clinical Mucosal Immunology Clinical Mucosal Immunology Natural caries immunology in human It is sure, there is natural anti-caries immunity in human. Persons with low caries frequency have high anti-s.mutans IgG antibody level in

More information

VIRUS. Viral infection causing, or associated with diseases of the oral mucosa : Herpes Simpleks 1 & 2

VIRUS. Viral infection causing, or associated with diseases of the oral mucosa : Herpes Simpleks 1 & 2 VIRUS Viral infection causing, or associated with diseases of the oral mucosa : VIRUS Herpes Simpleks 1 & 2 Varicella - Zoster Coxsakie A PENYAKIT Primary Gingivostomatitis Herpetica Herpes Labialis Recurrent

More information

What are the functions of the integumentary system? What are some disorders of the integumentary system?

What are the functions of the integumentary system? What are some disorders of the integumentary system? Essential Questions: What are the functions of the integumentary system? What are some disorders of the integumentary system? How are integumentary system disorders treated? How do you relate the integumentary

More information

Lesions & Lifestyles

Lesions & Lifestyles Lesions & Lifestyles attended a 3 hour Continuing Education Seminar on Oral Pathology presented by Nancy Dewhirst, RDH,BS on (date) at (location):. Course material is directly related patient care. Notes:

More information

Oral cavity cancer accounts for approximately 3% of all malignancies and is a significant worldwide health problem.

Oral cavity cancer accounts for approximately 3% of all malignancies and is a significant worldwide health problem. Oral cavity cancer accounts for approximately 3% of all malignancies and is a significant worldwide health problem. Majority are SCC ( 5-year survival rate only about 50-60% ) Many SCC arrive from premalignant

More information

Pediatric Rashes: To Play or Not to Play

Pediatric Rashes: To Play or Not to Play Objectives Pediatric Rashes: To Play or Not to Play Tami Jakubowski DNP, CPNP-PC, CSN Tracy Perron PhD, RN,CSN Pediatric Nursing Conference July 27,2018 Identify rashes commonly encountered among school-aged

More information

Differential Diagnosis of Oral Lesions. An Interactive Lecture Using Audience Response Polling. John L. Alonge, MS, DDS

Differential Diagnosis of Oral Lesions. An Interactive Lecture Using Audience Response Polling. John L. Alonge, MS, DDS Differential Diagnosis of Oral Lesions An Interactive Lecture Using Audience Response Polling John L. Alonge, MS, DDS Goals 1. Review the diagnostic process needed to formulate a differential diagnosis

More information

Oral Health & HIV. Professor Sudeshni Naidoo Department of Community Dentistry University of the Western Cape

Oral Health & HIV. Professor Sudeshni Naidoo Department of Community Dentistry University of the Western Cape Oral Health & HIV Professor Sudeshni Naidoo Department of Community Dentistry University of the Western Cape Importance & relevance of Oral HIV Lesions >70% of HIV+ve patients present with oral manifestations

More information

Contents. 3 Diagnostic Tests and Studies Introduction Examination... 27

Contents. 3 Diagnostic Tests and Studies Introduction Examination... 27 Contents 1 Normal Anatomy... 1 1.1 Introduction... 1 1.2 Surface Landmarks... 1 1.3 Oral Mucosa... 3 1.4 Tongue... 5 1.5 Floor of Mouth... 6 1.6 Palate... 6 1.7 Dentition... 7 1.8 Temporomandibular Joint...

More information

Scrub In. What is a function of the skin: The innermost layer of the epidermis is constantly reproducing itself. This function enable the skin to:

Scrub In. What is a function of the skin: The innermost layer of the epidermis is constantly reproducing itself. This function enable the skin to: Scrub In What is a function of the skin: a. Convert glycogen to glucose b. Secretion of growth hormones c. Manufacture of vitamin C d. Protection from germ invasion The innermost layer of the epidermis

More information

COPYRIGHTED MATERIAL. Introduction CHAPTER 1. Introduction

COPYRIGHTED MATERIAL. Introduction CHAPTER 1. Introduction CHAPTER 1 Introduction OVERVIEW The clinical features of skin lesions are related to the underlying pathological processes. Broadly skin conditions fall into three clinical groups: (a) those with a well-defined

More information

Diagnostic sieve. Looking Beyond the Vermillion Border. Time bombs for medical GPs! Normal oral mucosa

Diagnostic sieve. Looking Beyond the Vermillion Border. Time bombs for medical GPs! Normal oral mucosa Sat 12 June 2010 Millennium WS 28 + 38 2.00-2.55; 3.05-4.00 PM Looking Beyond the Vermillion Border Laurence J. Walsh BDSc, PhD, DDSc, FFOP(RCPA), GCEd, FICD, FPFA, FADI, FIADFE The University of Queensland

More information

Vascular. Extravasated blood. Melanocytic. Tattoo. Epidermolysis bullosa. Lichen planus. Pemphigoid Pemphigus Lupus. Candidosis. Surface Epithelial

Vascular. Extravasated blood. Melanocytic. Tattoo. Epidermolysis bullosa. Lichen planus. Pemphigoid Pemphigus Lupus. Candidosis. Surface Epithelial Oral Soft Tissue Pathology Epithelial Thickening (white) Combination Erythema migrans Epithelial atrophy (red) Surface Lesions Clinical Impression Enlargements Surface Debris Pigmented Vesicular Ulcerated

More information

Chapter 8 Skin Disorders and Diseases

Chapter 8 Skin Disorders and Diseases Chapter 8 Skin Disorders and Diseases Attitude is more important than the past, than education, than money, than circumstances, than what people do or say. It is more important than appearance, giftedness,

More information

Pimples and Boils!! Dr Nathan Harvey Anatomical Pathology, PathWest

Pimples and Boils!! Dr Nathan Harvey Anatomical Pathology, PathWest Pimples and Boils!! Dr Nathan Harvey Anatomical Pathology, PathWest Overview & Learning Objectives Review the cardinal signs/symptoms of acute inflammation Review the histological features of acute inflammation

More information

Benign and malignant epithelial lesions: Seborrheic keratosis: A common benign pigmented epidermal tumor occur in middle-aged or older persons more

Benign and malignant epithelial lesions: Seborrheic keratosis: A common benign pigmented epidermal tumor occur in middle-aged or older persons more Benign and malignant epithelial lesions: Seborrheic keratosis: A common benign pigmented epidermal tumor occur in middle-aged or older persons more common on the trunk; but extremities, head and neck are

More information

A. Erythema multiforme and related diseases

A. Erythema multiforme and related diseases Go Back to the Top To Order, Visit the Purchasing Page for Details Chapter Erythema, Erythroderma (Exfoliative Dermatitis) Erythema is caused by telangiectasia or hyperemia in the papillary and reticular

More information

That. Name QUIZ. 60 SEPTEMBER 2017 // dentaltown.com

That. Name QUIZ. 60 SEPTEMBER 2017 // dentaltown.com QUIZ Name That General dentists are first in the line of practitioners that patients see for an oral lesion evaluation; therefore, a sound understanding of oral mucosal diseases and their clinical presentation

More information

Contents. 1 Normal Anatomy Introduction... 17

Contents. 1 Normal Anatomy Introduction... 17 Contents 1 Normal Anatomy... 1 Introduction... 1 Surface Landmarks... 1 Oral Mucosa... 1 Tongue... 4 Floor of Mouth... 6 Palate... 7 Dentition... 7 Temporomandibular Joint... 9 Innervation... 10 Jaws and

More information

The Oral Cavity. Image source:

The Oral Cavity. Image source: The Oral Cavity Anatomy Image source: http://anatomyforlayla.blogspot.co.za/2007/04/blog-post.html The major structures of the oral cavity are the lips, the teeth, the alveolar ridges (bony areas that

More information

Some skin conditions

Some skin conditions Some skin conditions Some skin conditions Acute Inflammatory Dermatoses Chronic Inflammatory Dermatoses Blistering (Bullous) Diseases Panniculitis Disorders of Epidermal Appendages -Urticaria -Acute eczematous

More information

Integumentary System

Integumentary System Integumentary System Integumentary System Skin, hair, and nails. Skin: Epidermis: outer layer. Dermis: also called corium, or true skin. Subcutaneous fascia: innermost layer. Integumentary Glands Sudoriferous:

More information

Differential Diagnosis of Oral Ulcerations

Differential Diagnosis of Oral Ulcerations Differential Diagnosis of Oral Ulcerations Dr. Nagamani Narayana Department of Oral Biology University of Nebraska Medical Center College of Dentistry Objectives Differential diagnosis of oral ulcerations

More information

WOMEN'S INTERAGENCY HIV STUDY ORAL PROTOCOL FORM OP 4: ORAL MUCOSAL TISSUE EXAM

WOMEN'S INTERAGENCY HIV STUDY ORAL PROTOCOL FORM OP 4: ORAL MUCOSAL TISSUE EXAM WOMEN'S INTERAGENCY HIV STUDY ORAL PROTOCOL FORM OP 4: ORAL MUCOSAL TISSUE EXAM COMPLETING THE FORM GENERAL INFORMATION Affix the Participant ID label in the space indicated. Record the visit number. Be

More information

THE TONGUE. In Clinical Diagnosis

THE TONGUE. In Clinical Diagnosis THE TONGUE In Clinical Diagnosis A Colour Atlas of The Tongue in Clinical Diagnosis D.W. BEAVEN S.E. BROOKS BATES Guide to Physical Examination Lynn s. Bickley רויטל רחימי, תום כספי פנימית ב', תל-השומר

More information

Dr Rodney Itaki Lecturer Division of Pathology Anatomical Pathology Discipline

Dr Rodney Itaki Lecturer Division of Pathology Anatomical Pathology Discipline Oral Lesions & Oral Cancer Dr Rodney Itaki Lecturer Division of Pathology Anatomical Pathology Discipline University of Papua New Guinea School of Medicine & Health Sciences Division of Pathology Overview

More information

Dermatopathology: The tumor is composed of keratinocytes which show atypia, increase mitoses and abnormal mitoses.

Dermatopathology: The tumor is composed of keratinocytes which show atypia, increase mitoses and abnormal mitoses. Squamous cell carcinoma (SCC): A common malignant tumor of keratinocytes arising in the epidermis, usually from a precancerous condition: 1- UV induced actinic keratosis, usually of low grade malignancy.

More information

Benign Oral cavity lesions. Mohammed ALESSA MBBS,FRCSC Assistant Professor Consultant Otolaryngology, Head & Neck Surgery

Benign Oral cavity lesions. Mohammed ALESSA MBBS,FRCSC Assistant Professor Consultant Otolaryngology, Head & Neck Surgery Benign Oral cavity lesions Mohammed ALESSA MBBS,FRCSC Assistant Professor Consultant Otolaryngology, Head & Neck Surgery Anatomy Histology Physiology Pathology Clinical cases Introduction The oral cavity

More information

Chapter 29. Learning Objectives. Learning Objectives (Cont d) 9/10/2012. Cutaneous Disorders

Chapter 29. Learning Objectives. Learning Objectives (Cont d) 9/10/2012. Cutaneous Disorders Chapter 29 Cutaneous Disorders Learning Objectives Describe the three layers of skin, and their composition and functions Describe the morphology of primary skin lesions Describe the morphology of secondary

More information

Kings College London Dental Institute. Guy s & St Thomas NHS Foundation Trust Oral Medicine Unit. Disease Activity Scoring sheets

Kings College London Dental Institute. Guy s & St Thomas NHS Foundation Trust Oral Medicine Unit. Disease Activity Scoring sheets Kings College London Dental Institute Guy s & St Thomas NHS Foundation Trust ral Medicine Unit Disease Activity Scoring sheets Clinical scoring systems for oral mucosal Diseases The routine clinical management

More information

Manifestations of gastrointestinal diseases in the oral cavity. Nabil El-Lababidi

Manifestations of gastrointestinal diseases in the oral cavity. Nabil El-Lababidi Manifestations of gastrointestinal diseases in the oral cavity Nabil El-Lababidi Types of mouth affections in conjunction with GIT diseases I. Glossitis: Crohn s disease Coeliac disease Kwashiorkhor Malabsorption

More information

This section covers the basic knowledge of normal skin structure and function required to help understand how skin diseases occur.

This section covers the basic knowledge of normal skin structure and function required to help understand how skin diseases occur. Background Knowledge Functions of normal skin Background Knowledge This section covers the basic knowledge of normal skin structure and function required to help understand how skin diseases occur. Learning

More information

Pathology of the skin. 2nd Department of Pathology, Semmelweis University

Pathology of the skin. 2nd Department of Pathology, Semmelweis University Pathology of the skin 2nd Department of Pathology, Semmelweis University Histology of the skin Epidermis: Stratum corneum Stratum granulosum Stratum spinosum Stratum basale Dermis: papillary and reticular

More information

Subject: Dental Care for the Patient with an Oral Herpetic Lesion

Subject: Dental Care for the Patient with an Oral Herpetic Lesion Subject: Dental Care for the Patient with an Oral Herpetic Lesion The AAOM affirms that risk factor assessment for oral diseases including oral and oropharyngeal cancers, and a non-invasive visual and

More information

Rash Decisions Approach to the patient with a skin condition

Rash Decisions Approach to the patient with a skin condition National Conference for Nurse Practitioners April 25, 2014 Rash Decisions Approach to the patient with a skin condition Margaret A. Bobonich, DNP, FNP C, DCNP, FAANP Assistant Professor, Case Western Reserve

More information

Overview. Improving Oklahoma Nursing Home Resident Outcomes through Person-Centered Oral Care. Nursing home participant benefits

Overview. Improving Oklahoma Nursing Home Resident Outcomes through Person-Centered Oral Care. Nursing home participant benefits Improving Oklahoma Nursing Home Resident Outcomes through Person-Centered Oral Care Maggie Oehlke, RDH Quality Improvement Consultant Maggie.Oehlke@tmf.org Overview Poor oral health, particularly for those

More information

LESSON ASSIGNMENT. Primary and Secondary Skin Lesions. After completing this lesson, you should be able to:

LESSON ASSIGNMENT. Primary and Secondary Skin Lesions. After completing this lesson, you should be able to: LESSON ASSIGNMENT LESSON 3 Primary and Secondary Skin Lesions. LESSON ASSIGNMENT Paragraphs 3-1 through 3-5. LESSON OBJECTIVES After completing this lesson, you should be able to: 3-1. Identify different

More information

Plasma Cell Gingivitis Among Herbal Toothpaste Users: A Report of Three Cases

Plasma Cell Gingivitis Among Herbal Toothpaste Users: A Report of Three Cases Plasma Cell Gingivitis Among Herbal Toothpaste Users: A Report of Three Cases Abstract Aim: The aim of this article is to present a brief review of plasma cell gingivitis (PCG) along with reports of three

More information

04/09/2018. Squamous Cell Neoplasia and Precursor Lesions. Agenda. Squamous Dysplasia. Squamo-proliferative lesions. Architectural features

04/09/2018. Squamous Cell Neoplasia and Precursor Lesions. Agenda. Squamous Dysplasia. Squamo-proliferative lesions. Architectural features Squamous Cell Neoplasia and Precursor Lesions Jennifer L. Hunt, MD, MEd Aubrey J. Hough Jr, MD, Endowed Professor of Pathology Chair of Pathology and Laboratory Medicine University of Arkansas for Medical

More information

Premalignant lesions may expose to a promoting. factor & may be induced to undergo malignant. Carcinoma in situ displays the cytologic features of

Premalignant lesions may expose to a promoting. factor & may be induced to undergo malignant. Carcinoma in situ displays the cytologic features of بسم رلاهللا Def. Premalignant lesions may expose to a promoting factor & may be induced to undergo malignant transformation. Carcinoma in situ displays the cytologic features of malignancy without invasion

More information

06/11/1431. Chapter 5. Ra'eda Almashaqba

06/11/1431. Chapter 5. Ra'eda Almashaqba Chapter 5 1 Skin The skin is composed of three layers, the epidermis, dermis, and subcutaneous tissue. The skin is thicker on the palms of the hands and soles of the feet and is continuous with the mucous

More information

Learning Objectives. History 8/1/2016. An Approach to Pediatric Rashes

Learning Objectives. History 8/1/2016. An Approach to Pediatric Rashes An Approach to Pediatric Rashes Neethi Patel, D.O. Learning Objectives 1.To identify common features of rashes seen in the pediatric population as well as pathognomonic features of certain pathologies

More information

Emergency Dermatology. Emergency Dermatology

Emergency Dermatology. Emergency Dermatology Emergency Dermatology These are rapidly progressive skin conditions and some are potentially lifethreatening. Early recognition is important to implement prompt supportive care and therapy. Some are drug

More information

Case presentations: The pitfalls in diagnosis and management of oral lesions in cancer patients

Case presentations: The pitfalls in diagnosis and management of oral lesions in cancer patients Case presentations: The pitfalls in diagnosis and management of oral lesions in cancer patients Siri Beier Jensen Associate Professor, DDS, PhD Aarhus University Faculty Disclosure X No, nothing to disclose

More information

Available online at International Journal of Current Research Vol. 8, Issue, 10, pp , October, 2016 CASE STUDY

Available online at   International Journal of Current Research Vol. 8, Issue, 10, pp , October, 2016 CASE STUDY z Available online at http://www.journalcra.com International Journal of Current Research Vol. 8, Issue, 10, pp.39962-39967, October, 2016 INTERNATIONAL JOURNAL OF CURRENT RESEARCH ISSN: 0975-833X CASE

More information

Pigmented lesions of the Oral cavity

Pigmented lesions of the Oral cavity Oral medicine أ.م.د احسان عبد هللا كميل Pigmented lesions of the Oral cavity Pigmented oral lesions are a large group of disorders in which the dark or brown color is the essential clinical characteristic.

More information

DERMATOLOGY SKIN DISEASE: APPROACH TO DIAGNOSIS

DERMATOLOGY SKIN DISEASE: APPROACH TO DIAGNOSIS DERMATOLOGY SKIN DISEASE: APPROACH TO DIAGNOSIS History Clinical Examination List and Prioritise Differentials Diagnostic Testing/Trials (eg Treatment Trial) Correlate All Findings History Signalment age,

More information

Chapter 6 The Integumentary System

Chapter 6 The Integumentary System Chapter 6 The Integumentary System Copyright 2015 Wolters Kluwer Health Lippincott Williams & Wilkins Overview Key Terms apocrine epidermis melanin alopecia erythema melanocyte arrector pili exfoliation

More information

The Integumentary System: ANATOMY Includes: - Skin (integument) MEMBRANES. PHYSIOLOGY (functions) Protection. EPITHELIAL (cont.

The Integumentary System: ANATOMY Includes: - Skin (integument) MEMBRANES. PHYSIOLOGY (functions) Protection. EPITHELIAL (cont. Did you know. Membranes & The Integumentary System The skin is the largest organ of the human body. It has a surface area of about 25 square-feet! You shed about 1.5 pounds of skin particles each year.

More information

THE INTEGUMENTARY SYSTEM. Body Membranes & Skin

THE INTEGUMENTARY SYSTEM. Body Membranes & Skin THE INTEGUMENTARY SYSTEM Body Membranes & Skin TYPES OF MEMBRANES Epithelial Membranes includes layer of epithelial cells and connective tissue Serous Cutaneous Mucous Connective Tissue Membranes solely

More information

MECHANISMS OF HUMAN DISEASE: LABORATORY SESSION PATHOLOGY OF THE SKIN LAB. Friday, February 12, :30 am 11:00 am

MECHANISMS OF HUMAN DISEASE: LABORATORY SESSION PATHOLOGY OF THE SKIN LAB. Friday, February 12, :30 am 11:00 am MECHANISMS OF HUMAN DISEASE: LABORATORY SESSION PATHOLOGY OF THE SKIN LAB Friday, February 12, 2012 9:30 am 11:00 am FACULTY COPY GOALS: Describe the basic clinical and morphologic features of various

More information

Clinically Microscopically Pathogenesis: autoimmune not lifetime

Clinically Microscopically Pathogenesis: autoimmune not lifetime Vulvar Diseases: Can be divided to non-neoplastic and neoplastic diseases. The neoplastic diseases are much less common. Of those, squamous cell carcinoma is the most common. most common in postmenopausal

More information

Histopathology: skin pathology

Histopathology: skin pathology Histopathology: skin pathology These presentations are to help you identify, and to test yourself on identifying, basic histopathological features. They do not contain the additional factual information

More information

Oral Manifestation in Patients diagnosed with Dermatological Diseases

Oral Manifestation in Patients diagnosed with Dermatological Diseases JCDP ORIGINAL RESEARCH Oral Manifestation in Patients diagnosed 10.5005/jp-journals-10024-2191 with Dermatological Diseases Oral Manifestation in Patients diagnosed with Dermatological Diseases 1 Sanjay

More information

INFLAMMATORY DISEASES PART I. Immunopathology Part I

INFLAMMATORY DISEASES PART I. Immunopathology Part I INFLAMMATORY DISEASES PART I Immunopathology Part I Nonspecific & T Cell Mediated Mucosal Inflammatory Lesions Nonspecific and Idiopathic Mucositis Hypersensitivity and Autoimmune T cell mediated Immunoglobulin

More information

OCCUPATIONAL DERMATOSES

OCCUPATIONAL DERMATOSES OCCUPATIONAL DERMATOSES Part II Liz Clark, D.O., MPH & TM, FAOCOPM Learning Objectives: To better understand the epidemiology and economic impact of Occupational Dermatoses To review medical definitions

More information

Index. Note: Page numbers of article titles are in boldface type.

Index. Note: Page numbers of article titles are in boldface type. Note: Page numbers of article titles are in boldface type. A Actinobacteria, 307 308 Actinomycetes, 307 308 Actinomycosis, in oral cavity, 288 290 Aggregatibacter, 308 309 Amoxicillin, in odontogenic infections,

More information

Squamous Cell Neoplasia and Precursor Lesions

Squamous Cell Neoplasia and Precursor Lesions Squamous Cell Neoplasia and Precursor Lesions Jennifer L. Hunt, MD, MEd Aubrey J. Hough Jr, MD, Endowed Professor of Pathology Chair of Pathology and Laboratory Medicine University of Arkansas for Medical

More information

OCCUPATIONAL DERMATOSES

OCCUPATIONAL DERMATOSES OCCUPATIONAL DERMATOSES OCCUPATIONAL MEDICINE Liz Clark, D.O., MPH & TM, FAOCOPM, FAIMA Learning Objectives: To better understand the epidemiology and economic impact of Occupational Dermatoses To review

More information

JMSCR Vol 05 Issue 10 Page October 2017

JMSCR Vol 05 Issue 10 Page October 2017 www.jmscr.igmpublication.org Impact Factor 5.84 Index Copernicus Value: 71.58 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v5i10.125 Histomorphological Study of Lichen Planus

More information

Dental Management of the Organ or Stem Cell Transplant Patient

Dental Management of the Organ or Stem Cell Transplant Patient Dental Management of the Organ or Stem Cell Transplant Patient KEY POINTS Before and after organ or stem cell transplantation, patients require specialized dental management. Optimal dental management

More information

We re Passionate About

We re Passionate About Oral Health Training Marie Burgum Oral Health Advisor Tees Community Dental Service We re Passionate About Putting patients first Quality, safety and patient experience Transforming services to meet the

More information

Dental Care and Health An Update. Dr. Ranjini Pillai, DDS, MPH, FAGD, FICOI

Dental Care and Health An Update. Dr. Ranjini Pillai, DDS, MPH, FAGD, FICOI Dental Care and Health An Update Dr. Ranjini Pillai, DDS, MPH, FAGD, FICOI WHO s Definition of Health? Health is a state of complete physical, mental, and social wellbeing and not merely the absence of

More information

Index. Dent Clin N Am 49 (2005) Note: Page numbers of article titles are in boldface type.

Index. Dent Clin N Am 49 (2005) Note: Page numbers of article titles are in boldface type. Dent Clin N Am 49 (2005) 273 278 Index Note: Page numbers of article titles are in boldface type. A Acanthosis nigricans, familial, 251 Amalgam tattoo, 197 198 Amphotericin B, 62 Ankyloglossia, 11 Anti-inflammatory

More information

Oral Medicine FULL Referral Guide (FRG)

Oral Medicine FULL Referral Guide (FRG) Oral Medicine FULL Referral Guide (FRG) Yorkshire & the Humber February 2017 Version 1 Contents Introduction... 1 Oral Medicine Referral Decision Process 1 Step 1. Oral Medicine Condition?... 2 A. Soft

More information

Skin and Body Membranes Body Membranes Function of body membranes Cover body surfaces Line body cavities Form protective sheets around organs

Skin and Body Membranes Body Membranes Function of body membranes Cover body surfaces Line body cavities Form protective sheets around organs Skin and Body Membranes Body Membranes Function of body membranes Cover body surfaces Line body cavities Form protective sheets around organs Classification of Body Membranes Epithelial membranes Cutaneous

More information

Classification: 1. Infective: 2. Traumatic: 3. Idiopathic: Recurrent Aphthous Stomatitis (RAS) 4. Associated with systemic disease:

Classification: 1. Infective: 2. Traumatic: 3. Idiopathic: Recurrent Aphthous Stomatitis (RAS) 4. Associated with systemic disease: Classification: 1. Infective: 2. Traumatic: 3. Idiopathic: Recurrent Aphthous Stomatitis (RAS) 4. Associated with systemic disease: Hematological GIT Behcet s HIV 5. Associated with dermatological diseases:

More information

Test your knowledge with multiple-choice cases. What are these speckled spots?

Test your knowledge with multiple-choice cases. What are these speckled spots? Test your knowledge with multiple-choice cases Case 1 What are these speckled spots? A speckled, pigmented lesion is noticed on the upper arm of a 10-year-old girl. Her mother says the lesion has been

More information

DIABETES MELLITUS. Definition

DIABETES MELLITUS. Definition Definition DIABETES MELLITUS Diabetes Mellitus is absolute or relative insulin insufficiency, low insulin output from the pancreas or inresponsiveness of peripheral tissues to existing insulin Risk factor

More information

Meet the ISSVD. President ISSVD. Jacob Bornstein, MD

Meet the ISSVD. President ISSVD. Jacob Bornstein, MD Meet the ISSVD Jacob Bornstein, MD President ISSVD Chairman, Department of Obstetrics and Gynecology Western Galilee Hospital Bar-Ilan University Faculty of Medicine Nahariya, Israel ISSVD Symposium: The

More information

Diagnosis and Management of Common and Infective Skin Diseases in Children at primary care level

Diagnosis and Management of Common and Infective Skin Diseases in Children at primary care level Diagnosis and Management of Common and Infective Skin Diseases in Children at primary care level Dr Ng Su Yuen Paediatrician and Paediatric Dermatologist Hospital Pulau Pinang Outline Common inflammatory

More information

Introduction. Skin and Body Membranes. Cutaneous Membranes Skin 9/14/2017. Classification of Body Membranes. Classification of Body Membranes

Introduction. Skin and Body Membranes. Cutaneous Membranes Skin 9/14/2017. Classification of Body Membranes. Classification of Body Membranes Introduction Skin and Body Membranes Body membranes Cover surfaces Line body cavities Form protective and lubricating sheets around organs Classified in 5 categories Epithelial membranes 3 types- cutaneous,

More information

Clinical Implications Of Treating PWD

Clinical Implications Of Treating PWD Clinical Implications Of Treating PWD Xerostomia- Antihypertensive Medications Hyperglycemic xerostomia Neuropathic Association? Clinical Significance: Caries Mucositis Impaired Denture Retention Candida

More information

Benign versus Cancerous Lesions How to tell the difference FMF 2014 Christie Freeman MD, CCFP, DipPDerm, MSc

Benign versus Cancerous Lesions How to tell the difference FMF 2014 Christie Freeman MD, CCFP, DipPDerm, MSc 1 Benign versus Cancerous Lesions How to tell the difference FMF 2014 Christie Freeman MD, CCFP, DipPDerm, MSc Benign lesions Seborrheic Keratoses: Warty, stuck-on Genetics and birthdays Can start in late

More information

EPIDERMOLYSIS BULLOSA

EPIDERMOLYSIS BULLOSA EPIDERMOLYSIS BULLOSA Definition Epidermolysis bullosa (EB) is a term used to describe a group of rare mainly hereditary, chronic, non-inflammatory diseases of skin and mucous membranes. EB is characterized

More information

Oral infections. Siri Beier Jensen Associate Professor, DDS, PhD

Oral infections. Siri Beier Jensen Associate Professor, DDS, PhD Oral infections Siri Beier Jensen Associate Professor, DDS, PhD Oral mucosa Covers and protects underlying structures Barrier to bacterial, fungal and viral infection Resistant to: Temperature ph Mechanical

More information

PowerPoint Lecture Slide Presentation by Patty Bostwick-Taylor, Florence-Darlington Technical College Skin and Body Membranes

PowerPoint Lecture Slide Presentation by Patty Bostwick-Taylor, Florence-Darlington Technical College Skin and Body Membranes PowerPoint Lecture Slide Presentation by Patty Bostwick-Taylor, Florence-Darlington Technical College Skin and Body Membranes 4 Body Membranes Function of body membranes Cover body surfaces Line body cavities

More information

CASE REPORT ATYPICAL BULLOUS PYODERMA GANGRENOSUM WITH EARLY LESIONS MIMICKING CHICKEN POX

CASE REPORT ATYPICAL BULLOUS PYODERMA GANGRENOSUM WITH EARLY LESIONS MIMICKING CHICKEN POX ATYPICAL BULLOUS PYODERMA GANGRENOSUM WITH EARLY LESIONS MIMICKING CHICKEN POX Ramesh M 1, Kavya Raju Nayak 2, M.G. Gopal 3, Sharath Kumar B.C 4, Nandini A.S 5 HOW TO CITE THIS ARTICLE: Ramesh M, Kavya

More information

Premalignant skin tumours

Premalignant skin tumours Chapter 14: Premalignant skin tumours page: 434 Premalignant skin tumours page: 435 Solar keratoses (senile keratoses) Raised red and well-defined plaques with a rough surface covered in scales of varying

More information

Management of Oral Herpes Simplex in the Maternity and Neonatal Unit GL373

Management of Oral Herpes Simplex in the Maternity and Neonatal Unit GL373 Management of Oral Herpes Simplex in the Maternity and Neonatal Unit GL373 Approval Approval Group Job Title, Chair of Committee Date Paediatric clinical governance chair Chair of the Paediatric Governance

More information

Rameshwar Gutte and Uday Khopkar

Rameshwar Gutte and Uday Khopkar Extragenital unilateral lichen sclerosus et atrophicus in a child: a case report Rameshwar Gutte and Uday Khopkar Department of Dermatolgy, Seth GSMC and KEM Hospital, Parel, Mumbai-400012, India Egyptian

More information

Integumentary System

Integumentary System Integumentary System The integumentary system is commonly known as the Skin Largest organ of human body 10% total body weight and would cover over 20 square feet Functions of Skin 1. Protection Barrier

More information

MECHANISMS OF HUMAN DISEASE: LABORATORY SESSION PATHOLOGY OF THE SKIN LAB. Friday, February 13, :30 am 11:00 am

MECHANISMS OF HUMAN DISEASE: LABORATORY SESSION PATHOLOGY OF THE SKIN LAB. Friday, February 13, :30 am 11:00 am MECHANISMS OF HUMAN DISEASE: LABORATORY SESSION PATHOLOGY OF THE SKIN LAB Friday, February 13, 2009 9:30 am 11:00 am FACULTY COPY GOALS: Describe the basic clinical and morphologic features of various

More information

The Integumentary System

The Integumentary System The Integumentary System Integument is skin Skin and its appendages make up the integumentary system A fatty layer (hypodermis) lies deep to it Two distinct regions Epidermis Dermis PHL 212 1 Function

More information

CHAPTER 7:3 INTEGUMENTARY SYSTEM

CHAPTER 7:3 INTEGUMENTARY SYSTEM CHAPTER 7:3 INTEGUMENTARY SYSTEM I. OBJECTIVES A. Label a diagram of a cross section of the skin B. Differentiate between the two types of skin glands C. Identify six functions of the skin D. Provide the

More information

DERMATOLOGY. Dr. Khaled M. Al-Qudah. 4/24/2013 Dr. Khaled Al-Qudah 1

DERMATOLOGY. Dr. Khaled M. Al-Qudah. 4/24/2013 Dr. Khaled Al-Qudah 1 DERMATOLOGY Dr. Khaled M. Al-Qudah 4/24/2013 Dr. Khaled Al-Qudah 1 Type of Skin Lesions I. primary lesions: 4/24/2013 Dr. Khaled Al-Qudah 2 primary lesions Macule: flat circumscribed impalpable area of

More information

Herpesviruses. -Recurrence: clinically obvious disease due to reactivation. **Reactivation and recurrence are used interchangeably.

Herpesviruses. -Recurrence: clinically obvious disease due to reactivation. **Reactivation and recurrence are used interchangeably. *Herpesviruses: A large group of viruses (100 strains), but we are concerned with only 8 strains as they are the only ones to infect human beings *herpesviruses groups: HSV-1 HSV-2 VZV CMV EBV HHV-6 HHV-7

More information

المركب النموذج--- سبيتز وحمة = Type Spitz's Nevus, Compound SPITZ NEVUS 1 / 7

المركب النموذج--- سبيتز وحمة = Type Spitz's Nevus, Compound SPITZ NEVUS 1 / 7 SPITZ NEVUS 1 / 7 Epidemiology An annual incidence rate of 1.4 cases of Spitz nevus per 100,000 individuals has been estimated in Australia, compared with 25.4 per 100,000 individuals for cutaneous melanoma

More information

Diseases Of The Blood

Diseases Of The Blood Diseases Of The Blood DR. Associate Professor Of Pathology Faculty Of Medicine Ain Shams University Red Blood Cells and Anemia RBC=4-6 million/mm 2 Hb=12-18 g/dl Oxygen Carrying Molecule Hemoglobin Tetramer:

More information

Chapter 6: Integumentary System

Chapter 6: Integumentary System Chapter 6: Integumentary System 6.1 Introduction Why is skin considered to be an organ? What makes up the integumentary system? Integumentary System Skin (cutaneous membrane) Skin derivatives Sweat glands

More information

Leukoplakia is a white patch on the oral mucous membrane, which is undeliable and can not diagnose neither clinically nor pathologically as an other

Leukoplakia is a white patch on the oral mucous membrane, which is undeliable and can not diagnose neither clinically nor pathologically as an other Leukoplakia Leukoplakia is a white patch on the oral mucous membrane, which is undeliable and can not diagnose neither clinically nor pathologically as an other disease. (Pindborg. 1978) Precancerous lesion

More information

IN THE NAME OF GOD. Dr.kheirandish DDS,MSC Oral and maxillofacial pathology

IN THE NAME OF GOD. Dr.kheirandish DDS,MSC Oral and maxillofacial pathology IN THE NAME OF GOD Dr.kheirandish DDS,MSC Oral and maxillofacial pathology Dermatologic Diseases Chapter 16 ECTODERMAL DYSPLASIA o Two or more ectodermally derived anatomic structures fail to develop o

More information

Glasgow G2 3JZ. the need for full screening of patients with rerecurrent. peripheral blood, their deficiencies would have been. possibly vitamin B12.

Glasgow G2 3JZ. the need for full screening of patients with rerecurrent. peripheral blood, their deficiencies would have been. possibly vitamin B12. Postgraduate Medical Journal (December 1978) 54, 779-783. Clinical and haematological screening in recurrent aphthae A. W. HUTCHEON* M.D., M.R.C.P. J. H. DAGG* M.D., F.R.C.P. D. K. MASONt M.D., F.D.S.,

More information