week 2- lips Flashcards

1
Q

what can poor oral hygine lead to?

A

GI, cardiovascular, respiratory and immune problems

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2
Q

what is halitosis?

A

breath odar

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3
Q

what does faintly sulferous breath indicate?

A

liver failure

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4
Q

what does sweet breath indicate

A

diabetic ketoacidosis

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5
Q

what does ammonia breath indicate?

A

renal failure

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6
Q

what is fetor oris?

A

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

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7
Q

what is xerostomia

A

dryness of the mouth

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8
Q

what can cause xerostomia?

A

mouth breathing, dehydration, diuretics, salivary disease, sialoliths

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9
Q

what can a dark line on gingiva indicate?

A

heavy metal poisoning.

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10
Q

Bruxism?

A

clenching and grinding of teeth

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11
Q

what should we look for on teeth?

A

wearing down, cracks, loss or decay

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12
Q

petechiae

A

broken capillary blood vessels

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13
Q

what should we look at tongue for?

A

oral cancers, tongue movements, enlargement, papillae

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14
Q

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

A

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

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15
Q

what causes herpes labialis?

A

HSV 1

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16
Q

characteristics of herpes labialis?

A

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

17
Q

what is a trigger for reccurent herpes labialis

A

UV light, stress, trama, menstruation,

18
Q

what is a concern for those with herpes labialis?

A

auto inocculation to skin or eyes

19
Q

what type of cancer is ususally of the lip?

A

squamous cell carcinoma

20
Q

does squamous cell carcinoma spread?

A

High risk of metastasis

21
Q

what does SCC lip lesion look like?

A

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

22
Q

what is DDx for SCC of the lip?

A

may look like a plaque or verrucous

23
Q

how would SCC be diagnosed?

24
Q

what is a mucocele?

A

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

25
where is a mucoele most common
lip, and under tongue
26
what is the cause of a mucoele?
minor injury to ductal system of labial or sublingual salivary gland
27
main features, of mucoele?
clear or bluish bubble, movable, 1-2cm, it can burst and reappear
28
what is chelitis?
chapped lips
29
what could cause chapped lips?
wind burn, allergies, lip licking and retinoids
30
danger of chapped lips?
may become infected
31
what is angular chilitis?
deep cracks at labial commissure , spits, bleedin and shallow ulcers possible.
32
what could cause angular chilitis?
ill fitting dentures, bite change, poor oral hygine, dry mouth, Deficiency of B2, B12 and iron def anemia
33
what lab would be used to confirm angular chelitis?
KOH to rule out candida
34
what is plummer vinson syndrome
syndrom with chelitis, iron def anemia and upper esophagus web