week 2- lips

Question 1

what can poor oral hygine lead to?

Answer 1

GI, cardiovascular, respiratory and immune problems

Question 2

what is halitosis?

Answer 2

breath odar

Question 3

what does faintly sulferous breath indicate?

Answer 3

liver failure

Question 4

what does sweet breath indicate

Answer 4

diabetic ketoacidosis

Question 5

what does ammonia breath indicate?

Answer 5

renal failure

Question 6

what is fetor oris?

Answer 6

bad breath originating in the mouth that may be associated with appendicitis

Question 7

what is xerostomia

Answer 7

dryness of the mouth

Question 8

what can cause xerostomia?

Answer 8

mouth breathing, dehydration, diuretics, salivary disease, sialoliths

Question 9

what can a dark line on gingiva indicate?

Answer 9

heavy metal poisoning.

Question 10

Bruxism?

Answer 10

clenching and grinding of teeth

Question 11

what should we look for on teeth?

Answer 11

wearing down, cracks, loss or decay

Question 12

petechiae

Answer 12

broken capillary blood vessels

Question 13

what should we look at tongue for?

Answer 13

oral cancers, tongue movements, enlargement, papillae

Question 14

What are the 6 diagnoses that are possible on the lips?

Answer 14

Recurrent herpes labialis, carcinoma, mucocele, chelitis and angular chelitis

Question 15

what causes herpes labialis?

Answer 15

HSV 1

Question 16

characteristics of herpes labialis?

Answer 16

Prodrome itch or burn 12-36 hours, cluster of vesicles, rupture, crusting

Question 17

what is a trigger for reccurent herpes labialis

Answer 17

UV light, stress, trama, menstruation,

Question 18

what is a concern for those with herpes labialis?

Answer 18

auto inocculation to skin or eyes

Question 19

what type of cancer is ususally of the lip?

Answer 19

squamous cell carcinoma

Question 20

does squamous cell carcinoma spread?

Answer 20

High risk of metastasis

Question 21

what does SCC lip lesion look like?

Answer 21

painless, sharp edges, doesnt heal, grows slow, can bleed

Question 22

what is DDx for SCC of the lip?

Answer 22

may look like a plaque or verrucous

Question 23

how would SCC be diagnosed?

Answer 23

biopsy

Question 24

what is a mucocele?

Answer 24

soft cyst, mucin filled cavity with mucus glands lining cavity,

Question 25

where is a mucoele most common

Answer 25

lip, and under tongue

Question 26

what is the cause of a mucoele?

Answer 26

minor injury to ductal system of labial or sublingual salivary gland

Question 27

main features, of mucoele?

Answer 27

clear or bluish bubble, movable, 1-2cm, it can burst and reappear

Question 28

what is chelitis?

Answer 28

chapped lips

Question 29

what could cause chapped lips?

Answer 29

wind burn, allergies, lip licking and retinoids

Question 30

danger of chapped lips?

Answer 30

may become infected

Question 31

what is angular chilitis?

Answer 31

deep cracks at labial commissure , spits, bleedin and shallow ulcers possible.

Question 32

what could cause angular chilitis?

Answer 32

ill fitting dentures, bite change, poor oral hygine, dry mouth, Deficiency of B2, B12 and iron def anemia

Question 33

what lab would be used to confirm angular chelitis?

Answer 33

KOH to rule out candida

Question 34

what is plummer vinson syndrome

Answer 34

syndrom with chelitis, iron def anemia and upper esophagus web