LIP PAIN

LIP PAIN: Excerpt from Algorithmic Diagnosis of Symptoms and Signs

Ask the Following Questions:

1. Is there ulceration or swelling? Presence of an ulceration would suggest herpes simplex, syphilis, and carcinoma. Swelling would suggest there was trauma, a carbuncle, insect bites or stings, and angioneurotic edema.
2. Is there a rash? The presence of a rash would suggest herpes zoster, particularly if it is unilateral.
3. Is there a history of trauma, insect bite, or sting? These historical findings are important in determining if the swelling is due to trauma, insect bites, or stings.

DIAGNOSTIC WORKUP

Routine studies include a CBC, sedimentation rate, urinalysis, chemistry panel, VDRL test, and culture of any material that can be obtained from an ulceration if present. A therapeutic trial of antibiotics or antiviral medication can be done at this point. If this is unsuccessful, the patient should be referred to an oral surgeon or dermatologist.

Book Source Details

• Book Title: Algorithmic Diagnosis of Symptoms and Signs
• Author(s): R. Douglas Collins
• Year of Publication: 2003
• Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2003 Lippincott Williams & Wilkins.

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Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.

More About This Book: Title: Algorithmic Diagnosis of Symptoms and Signs Authors: R. Douglas Collins Publisher: Lippincott Williams & Wilkins Copyright: 2003 ISBN: 0-7817-3805-9

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