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ORAL MEDICINE > Lip Disorders > Flashcards

Lip Disorders Flashcards

1
Q

Name disorders of the lip

A
  1. Cleft lip
  2. lip fissures 
  3. Allergic chelitis
  4. actinic chelitis
  5. exfoliative chelitis
  6. Swelling
  7. Angular chelitis
  8. Perioral dermatitis
  9. lick eczema
  10. Chelio candidiosis
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2
Q

What are the causes of lip swelling

A
  1. Angioedema
  2. oedema
  3. Crohn’s disease
  4. mucocele
  5. fibroma
  6. squamous cell carcinoma
  7. oral facial granulomatosis
  8. Keratochanthoma
  9. Salivary gland tumours
  10. Nasolabial cysts
  11. Mesenchymal tumours
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3
Q

What is angular  chelitis

A

Multifactorial condition with the number of local and systemic predisposing factors

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4
Q

What are the causes of angular chelitis

A
  1. Unsatisfactory dentures particularly those with decreased vertical dimension
  2. secondary infections with C albicans or S aureus
  3. systemic conditions or deficiency
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5
Q

 what’s a systemic diseases or deficiencies can cause angular  chelitis

A
  1. Anaemia
  2. iron, B12 or folate deficiency
  3. OFG
  4. HIV infection
  5. diabetes mellitus
  6. sjoregens syndrome
  7. Infection
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6
Q

What is the antimicribial therapy for angular chelitis with candida isolated

A
  1. Intraoral nystatin or amphoteracin
  2. Angles nystatin ointment
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7
Q

What is the antimicrobial therapy for angular chelitis S aureus isolated

A
  1. Angles fusidic acid cream
  2. anterior nares mupirocin or fusidic acid cream
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8
Q

What is the antibiotic therapy for angular chelitis mixed infection

A

Miconazole gel or cream

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9
Q

How do you confirm the diagnosis of Angular  chelitis

A

Rapid response to local steroid application 1% hydrocortisone

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10
Q

How do you treat swelling of the lips

A
  1. Antihistamines
  2. If anaphylaxis occurs when adrenaline, anti-histamines, steroids
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11
Q

Lip fissure is associated with which diseases

A
  1. OFG
  2. down syndrome
  3. angular chelitis
  4. Secondary to S. aureus infection 
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12
Q

How do you manage lip fissures

A
  1. use of antibiotics to treat infection
  2. steroids
  3. can be removed with surgery but reoccurrence is common
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13
Q

What is the most common site for a lip fissure

A

Midline centre of lower lip

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14
Q

What are the causes of allergic  chelitis

A
  1. Lipstick
  2. ointment
  3. toothpaste
  4. food
  5. moisturizer
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15
Q

How do you treat allergic  chelitis

A
  1. Eliminate sensitizing substance
  2. topical steroid for temporary relief
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16
Q

How do you diagnose allergic  chelitis

A

patch testing

17
Q

What is the name of the condition in which there is long exposure to sunlight which leads to erythema of the lips, crusty and Induration at the Vermillion border in fibrotic reaction of connective tissue

A

Actinic chelitis or. solar keratosis

18
Q

What is the investigation for actinic chelitis

A

Biopsy

19
Q

What is the treatment for actinic chelitis

A
  1. Lip shave operation
  2. laser treatment
  3. chemical exfoliants
20
Q

What is exfoliative  chelitis

A

Condition characterized by production of excessive amounts of keratin/hyper parakeratosis

21
Q

What is the cause of exfoliative  chelitis

A

No specific cause but is associated with stress

22
Q

What is the treatment for exfoliative chelitis

A
  1. Resolves spontaneously as no response to any treatment
  2. anti-depression show some degree of success
23
Q

What are the causes of perioral dermatitis 

A
  1. Contact allergy
  2. steroid face creams
24
Q

Patient suffering from peri oral dermatitis with papules can benefit from what type of antimicrobial therapy

A

Low-dose regime of tetracycline

25
Q

What is the treatment of perioral dermatologist

A
  1. Low potency steroid
  2. low-dose tetracycline
26
Q

What is lick eczema and how do you treat it

A

a condition, often with children, characterized by sharply delineated zones of irritability and scaly skin around the mouth. It is due to the licking of the lips. Treated by stopping the habit or using a removable appliance with sharp edges to prevent tongue action

27
Q

What is the management of cheilocandidiasis

A
  1. Antifungal medication topical or systemic 

ORAL MEDICINE (3 decks)

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