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43 terms

Extraoral and Intraoral exam

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Bilateral
The two hands are used at the same time to examine corresponding structures on opposite sides of the body.
Bidigital
Use of finger and thumb of the same hand.
Digital
Use of a single finger.
Bimanual
Use of finger or fingers and thumb from each hand applied simultaneously in coordination.
Localized
Lesion limited to a small area
Generalized
Involves most of an area or segment
Single lesion
One lesion of a particular type with a distinct margin.
Multiple lesion
More than one lesion of a particular type. Lesions may be: separate, coalescing.
Coalescing
Close to each other with margins that merge.
Vesicle
A small(1 cm or less) circumcised lesion with a thin surface covering.
Pustule
A pustule may be more or less than 5mm. It contains pus; pus gives a yellowish color.
Bulla
A bulla is a large> 1 cmm. It is filled with fluid, usually mucin or serum, but may contain blood.
Papule
A small (pinhead to 5mm), solid lesion that may be pointed, rounded, or flat-topped.
Nodule
Larger than a papule(> 5mm but <1 cm
Tumor
2 cm or greater in width, raised hard lesion. In this context, tumor means a general swelling or enlargement.
Plaque
A slightly raised lesion with a broad, flat top. Usually larger than 5 mm in diameter, with a pasted on appearance.
Pedunculated lesion
Attached by a narrow stalk of pedicle.
Sessile lesion
Has a base as wide as the lesion itself.
Depressed lesion
Below the level of the skin or mucosa. may be raised or flat border around the depression. Depth is described as superficial or deep.
How deep is a deep lesion?
Greater than 3mm deep. Represent loss of continuity of epithelium.
Ulcer
Most depressed lesions.
Characteristics of an ulcer
Center is often gray to yellow, surrounded by a red border.
Macule
Circumscribed area not elevated above the surrounding normal tissues.
Crust
An outer layer, covering, or scab that may have formed from coagulation or drying of blood, serum, pus, or combination.
Erythema
Red area of variable size and shape.
Exophytic
Growing outward.
Indurated
Hardened
Papillary
Resembling a small, nipple-shaped projection or elevation
Petechiae
Minute hemorrhagic spots of pinhead to pinpoint size.
Exudate
Material composed of serum, fibrin, and white blood cells that escapes from blood vessels into an area of inflammation
Pseudomembrane
A loose membranous layer of exudate containing organisms, precipitated fibrin, necrotic cells, and inflammatory cells produced during an inflammatory reaction on the surface of a tissue.
Polyp
Any mass of tissue that projects outward or upward from the normal surface level.
Punctate
Marked with points or dots differentiated from the surrounding surface bu color, elevation, or texture.
Verrucous
Rough wart-like
What are the most common oral sites for cancer?
Floor of the mouth, lateral parts of the tongue, lower lip, and soft palate complex.
What are the five basic forms of oral cancer?
White lesions, red areas, ulcers, masses, and pigmentation.
How much time is allowed for oral lesion to heal, before a biopsy is recommended?
2 weeks
Name the nodes palpated for an extraoral exam.
Pre- and post auricular, occipital, submental, submandibular, cervical chain, supraclavicular.
What instrument is used to measure a lesion?
probe
What type of lesion contains fluid and are usually soft and translucent?
Blisterform
What type of lesions are solid and do not contain fluid?
Non-blisterform
What is a white patch or plaque that cannot be scraped off or characterized as any other disease called?
Leukoplakia
What term is used to designate lesions of the oral mucosa that appear as bright red patches or plaques that cannot be characterized as any specific disease?
Erythroplakia