HEENT LIPS

Question 1

o Fissuring of corners of mouth
o Due to nutritional deficiency or lack of teeth → causes over biting
o Moist corners susceptible to candida infection

Answer 1

Angular cheilitis

Question 2

o Pre-cancerous condition due to too much sun exposure

o Lower lips lose color and becomes scaly

Answer 2

Actinic cheilitis

Question 3

o Recurrent, PAINFUL vesicles
o Have yellow brown crust
o Heal in 10-14 days

Answer 3

Herpes simplex

Question 4

o Localized swelling of lower lip
o Triggered by mast cells (allergic rxn)
o Usually benign, lasts 24-48 hrs.
o Can be life threatening if in upper air way

Answer 4

Angioedema

Question 5

o Multiple small red spots
o AD endothelial disorder
o Causes vascular fragility and arteriovascular malformation (AVM)
o Nosebleeds, GI bleeding, iron deficiency anemia common

Answer 5

Hereditary Hemorrhagic telangiectasia

Question 6

o Small brown spots around lips
o AD syndrome
o Accompanying numerous GI polyps
o Risk of GI and other cancers

Answer 6

Peute-Jelghers Syndrome

Question 7

o Ulcerated papule with indurated edge
o Lesions also seen in pharynx, anus, vagina
o PAINLESS
o Heal spontaneously in 3-6 weeks
o CONTAGIOUS

Answer 7

Chancre (of Primary Syphilis)

Question 8

o Squamous cell carcinoma, scaly plaque
o Usually lower lip
o More common in fair-skinned people

Answer 8

Carcinoma of Lip