week 2- lips Flashcards
what can poor oral hygine lead to?
GI, cardiovascular, respiratory and immune problems
what is halitosis?
breath odar
what does faintly sulferous breath indicate?
liver failure
what does sweet breath indicate
diabetic ketoacidosis
what does ammonia breath indicate?
renal failure
what is fetor oris?
bad breath originating in the mouth that may be associated with appendicitis
what is xerostomia
dryness of the mouth
what can cause xerostomia?
mouth breathing, dehydration, diuretics, salivary disease, sialoliths
what can a dark line on gingiva indicate?
heavy metal poisoning.
Bruxism?
clenching and grinding of teeth
what should we look for on teeth?
wearing down, cracks, loss or decay
petechiae
broken capillary blood vessels
what should we look at tongue for?
oral cancers, tongue movements, enlargement, papillae
What are the 6 diagnoses that are possible on the lips?
Recurrent herpes labialis, carcinoma, mucocele, chelitis and angular chelitis
what causes herpes labialis?
HSV 1
characteristics of herpes labialis?
Prodrome itch or burn 12-36 hours, cluster of vesicles, rupture, crusting
what is a trigger for reccurent herpes labialis
UV light, stress, trama, menstruation,
what is a concern for those with herpes labialis?
auto inocculation to skin or eyes
what type of cancer is ususally of the lip?
squamous cell carcinoma
does squamous cell carcinoma spread?
High risk of metastasis
what does SCC lip lesion look like?
painless, sharp edges, doesnt heal, grows slow, can bleed
what is DDx for SCC of the lip?
may look like a plaque or verrucous
how would SCC be diagnosed?
biopsy
what is a mucocele?
soft cyst, mucin filled cavity with mucus glands lining cavity,
where is a mucoele most common
lip, and under tongue
what is the cause of a mucoele?
minor injury to ductal system of labial or sublingual salivary gland
main features, of mucoele?
clear or bluish bubble, movable, 1-2cm, it can burst and reappear
what is chelitis?
chapped lips
what could cause chapped lips?
wind burn, allergies, lip licking and retinoids
danger of chapped lips?
may become infected
what is angular chilitis?
deep cracks at labial commissure , spits, bleedin and shallow ulcers possible.
what could cause angular chilitis?
ill fitting dentures, bite change, poor oral hygine, dry mouth, Deficiency of B2, B12 and iron def anemia
what lab would be used to confirm angular chelitis?
KOH to rule out candida
what is plummer vinson syndrome
syndrom with chelitis, iron def anemia and upper esophagus web
