Oral Medicine-yousef Nasrawi
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Transcript of Oral Medicine-yousef Nasrawi
![Page 1: Oral Medicine-yousef Nasrawi](https://reader034.fdocument.pub/reader034/viewer/2022050800/577cc7691a28aba711a0dbee/html5/thumbnails/1.jpg)
ORAL MEDICINE
Done By YOUSEF NASRAWI
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* All the slides and images was given by Dr.aceil al-khatib in the lectures
CONTANTS
. White lesions
. Bacterial infections
. Viral infections
. Fungal infections
. Oral ulcerations
. Salivary glands
. Mucocutaneous diseases
. Methods of investigations
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White Lesions
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Candidal leukoplakia
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Leukoplakia of the floor of the mouth
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Erythroplakia
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Actinic chelitis
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Lichen planus
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Benign leukoplakia
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Malignant leukoplakia
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VEL scope
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Oral brush biopsy
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Bacterial Infections
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ANUG
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Cancrum oris (noma)
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Primary syphilis
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Secondary syphilis
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Condylomata lata (sec. syphilis)
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Tertiary syphilis
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Gumma on hard palate
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Early congenital syphilis
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Late congenital syphilis
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Gonococcal Ophthalmia Neonatorum
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Gonorrhea The main presentation is having sore throat or
pus discharge from gingiva
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Reiter’s syndrome
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Tuberculosis
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Actinomycosis
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Viral Infections
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Primary herpetic gingivostomatitis
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Recurrent Herpes
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Herpetic whitlow
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Varicella Zoster infections(Chicken pox)
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Varicella zoster infections(Shingles)
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Ramsay hunt syndrome
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Infections mononucleosis
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Burkitt’s Lymphoma
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Hairy leukoplakia
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Hand foot and mouth disease
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Herpangina
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Paramyxovirus infections(measles)
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Mumps
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Human papilloma virus
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Fungal Infections
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Candida albicans (IMPORTANT)
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Pseudo membranous candidosis
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Infant with candidosis
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Hyper-plastic candidosis
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Erythematous candidosis
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Median Rhomboid Glossitis
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Denture stomatitis (Type I,II,III)
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Angular cheilitis
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Chronic mucocutanuoes candidosis
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Mucormycosis
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Oral Ulcerations
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Traumatic ulcer
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Factitious ulcer
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Minor aphthous ulceration
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Major aphthous ulceration
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Herpetiform ulceration
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Histology of aphthous ulceration: (a) Aphthous ulcer of the lip defecting the epithelial layer (HE, 100).
(b) Magnified feature of the ulcer edge of the epithelial layer. The epithelial cells are surrounded by inflammatory infiltrates like
“Rosetta formation.”
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Ulcerative Colitis
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MAGIC syndrome
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Sweet’s syndrome
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Behcet’s disease
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Pathergy Test (behcet’s disease)
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Salivary Gland Disorders
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Sublingual salivary glands
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Submandibular glands
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Parotid gland
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Sialometry
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Carlson-Crittenden Collector
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Plain radiograph of the submandibular region in AP: (A) and lateral oblique (B) projection showing soft tissue
swelling associated with a small calculus (arrow) visible on lateral oblique view taken with depressed tongue
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Axial CT scan of the neck showing a left parotid pleomorphic adenoma
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CT scan of the left enlarged parotid gland
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Accessory parotid gland with ectopic fistulous duct: The child was managed surgically by internalisation of the duct to
open into the buccal mucosa and excision of pre-aural appendages.
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Ultrasound showing swollen left and normal right submandibular gland
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Conventional Sialography of submandibular gland
(A) and parotid glands (B) showing ductal system
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Snow Storm appearance (sjogren’s syndrome)
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Scintigraphy
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MRI
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Sialendoscopy
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Sialolithiasis
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Bacterial sialdenitis
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Acute parotitis
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Viral sialadenitis (mumps)
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Sialosis (Sialadenosis)
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Necrotizing Sialometaplasia
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Sarcodosis
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Xerostomia
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Sjogren’s syndrome (SS)
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Schirmer Test (for SS)
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Sialorrhea (Ptyalism)
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Inflammatory Overgrowths
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Fibrous epulis
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Pyogenic granuloma
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Pregnancy epulis
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Peripheral giant cell granuloma
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Fibroepithelial Polyp
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Denture granuloma
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Heck’s disease
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Heamangioma
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Lymphangioma
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Lymphangioma on the palate A very unique case of congenital intra-oral lymphangioma
circumscriptum in a 10-year-old boy presented with a predominantly-unilateral, grouped, deep-seated vesicles
some of which were bloody, confined to the right posterior half of the hard palate.
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White sponge naevus
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White sponge naevus
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Pachyonychia congenita
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Benign Intraepithelial Dyskeratosis (Witkop’s)
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Dyskeratoses congentia
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Tylosis palmoplantar keratoderma
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Darier’s disease
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Squamous cell papilloma
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Traumatic keratosis
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Nicotinic stomatitis
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Amalgam tattoos
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Mucoctaneous Diseases I
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Lichen planus
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Lichen planus (Koebner phenomenon)
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Non erosive LP
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Erosive LP
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Histopathlogy of LP
that show the lymphocytic band like infiltrate.
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GVHD
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Chronic ulcerative stomatitis
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Pemphigus vulgaris
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Pemphigus vegetants
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Pemphigus foliaeous
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Paraneoplastic pemphigus
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Hailey-Hailey disease
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Nikolsky sign
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Histopathlogy for pemphegus A) Light microscopy studies of an early bulla reveal subepidermal
blistering with a superficial dermal inflammatory infiltrate rich in eosinophils. The cavity of the bulla contains nets of fibrin
andsome eosinophils and neutrophils. (B) Direct
immunofluorescence studies from 'perilesional' skin shows linear continuous deposits of IgG along the dermoepidermal
junction. (C) Indirect immunofluorescence studies using NaCl-
split skin shows autoantibodies that bind to the epidermal side of the separation.
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Mucoctaneous Diseases II
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Bullous pemphigoid
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Mucosal membrane pemphigoid
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Antiepiligrin cicatrical pemphigoid (AECP)
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Erythema multiforme
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Epidermolysis bullosa
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Epithelial peeling
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Oral blood blisters
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Systemic lupus erythromatosus
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Discoid lupus
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Morphoea
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Systemic sclerosis
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Systemic sclerosis
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Methods of Investigations
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Primary hyperparathyroidism
(Salt and pepper appearance)
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Paget’s disease
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Multiple myeloma
(Punched-out appearance)
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Microscopic image of direct immunoflurescence using an anti-IgG antibody. The tissue is skin from a patient with
Pemphigus vulgaris.
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Microscopic image of direct immunoflurescence using an anti-IgG antibody. The tissue is skin from a patient with
Pemphigoid lesion
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Incisional biopsy
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Excisional biopsy
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Pleomorphic adenoma
(Incisional biopsy)
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Melanoma
(Excisional biopsy)
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Warts
(Excisional biopsy)
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Oral brush biopsy
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THE END