Txt Planning Exam 1 | Quizlet

what are the four W's of dialogue history ?

when

where

what

why

what are the main things evaluated under the cardiovascular system ?

cardiovascular disease

coronary artery disease / angina

heart murmurs

hypertension

palpitations

what are the main things evaluated under neuological history ?

stroke

seizure

syncope/dizziness

what are main things evaluated in respitory system ?

asthma

COPD

what are the main things evaluated in hematologic and endocrine assesment ?

anemia

kidney function

liver conditions

diabetes

what are the four parts of information gathering ?

1-patient history

2-radoigraphic examination

3-clinical examination

4-diagnostic aids

what are signs ?

findings discovered by a dentist during an examination

what are symptoms ?

findings verbally revealed by the patients themself ususually because they are causing problems

if a specific symptom is the motivating factor for a patient seeking txt it is refered to as ?

cheif complaint

precise terms that identify a particular disease or problem from signs and symptoms

diagnosis

what are the components of a patient history ?

demographic data

chief concern / complaint history

general health history

medication history

personal history

what is included in a patients demographic history ?

patients name

adress

phone number

physican name/number

insurance info.

national id.

what is the cut-off BP that if its highter than this you need to wait 10 min and retake it ?

160/100

what is included in protected health information (PHI) ?

medical findings

dianoses

txt notes

demographic data that could identify pt.

when can you use PHI according to HIPPA ?

txt. purposes

obtaining payment for services

quality assurance activities

assisting legal authorities

what information do we collect when we obtain vital signs ?

temperature

pulse

respiration

blood pressure

what factors affect vital signs ?

emotional factors --> stress , fear

physical factors --> ilness , drinking , eating , exercise

what is the normal temperature for an adult ?

98.6 F

an adult fever is present with a temperature greater than _______

100.4 F

core temp. _______ as you get older

decreases

--> so old peoples fever could start at a lower temp.

pulse is ?

number of heartbeats per minute

pulse is measure in ?

beats per minute

whats the normal pulse for adults ?

60-100 BPM

tachycardia is ?

heart rate of more than 100 BPM

bradycardia is ?

herat rate less than 60 BPM

when taking a patients pulse we are looking at ________ , _________ , and _____

rate , rythym , strength

where is most common area to measure pulse in dental office ?

radial pulse

what is the typical amount of time we take pulse for ?

30 sec (then mult. by 2)

respirations are measured in ?

breaths per minute

when watching respirations you are observing ________ , _________ , and _____

rate , depth , rythm

rate of repirations is ?

breaths per minute

depth of respirations is ?

labored or unlabored

rythm of respirations is ?

regular or irregular

what is the typical amount of time we take respirations for ?

30 sec ( then mult. by 2)

what do you use to measure blood pressure ?

sphygmomanometer or electronic / digital device

what is blood pressure measured in ?

millimeters of mercury (mm Hg)

high BP can cause damage to vessels increasing chance of ?

stroke

heart attack

kidney disease

sounds heard during BP are known as ?

korotkoff sounds

the first sound heard during taking BP is ?

systolic

the last sound heard during taking BP is ?

diastolic

an undersized BP artificially ______BP

raises

an oversized BP artificially ______BP

lowers

when a cuff fits properly the inflatable bladder should cover _____ circumpherence of the pts arm

80%

(want to fit 2 fingers under cuff)

systolic pressure is ?

the amount of pressure your blood exerts against the artery walls when heart beats

diastolic pressure is ?

the amount of pressure your blood exerts against your artery walls when your heart relaxes between beats

you take BP on the _______ artery

brachial

what type of patients are more likley to have an ausculatory gap?

pt.'s with hypertension or atheroscleosis

an ausculatory gap may lead to ?

underestimation of systolic or overestimation of diastolic

how to we avoid errors in in measuring BP in pt.'s with an ausculatory gap ?

measure pulse obliteration pressure prior to using ausculatory method when getting BP

how do you measure pulse obliteration pressure ?

1-put BP cuff over brachial artery

2-palpate radial pulse

3-inflate to 80 mmhg

4-inflate cuff 10 mmhg every 2-3 seconds stopping when pulse dissapears

5-once pulse dissapears deflate cuff at rate of 2 mmhg/sec

6-the reading that the pulse reappers at is pulse obliteration pressure

when taking BP what portion of stehtescope do you place over skin ?

bell

when taking BP with somone with ausculatory gap what do you inflate cuff to ?

20-30 mm hg above pulse obliteration pressure

how do you take BP normally ?

deflate cuff at a rate of 2 mm hg while listening to sounds

--> first sound is systolic

--> dissapearence of sounds is equal to diastolic

slowly defalfe for additional 10 mmhg beyond last kortkoff sound to ensure get diatolic

whats is the BP where no dental txt will be done without med. consult ?

180-209 / 110-119

what is type 1 diabetes ?

defficiency in insulin production due to autoimmune destruction of beta cells in pancreas

what are the classic symptoms of type 1 diabetes ?

polyuria

polydypsia

polyphagia

what are the classic symptoms of type 2 diabetes ?

metabolic disorders chracterized insulin resistance

what is gestational diabetes ?

hyperglycemia during preganacy in a women w/o diabetes prior (diabetes resistance)

** most common in last trimester

someone with diabtes with HbA1c <7% is grade __

B

someone with diabtes with HbA1c >/= 7% is grade __

C

what does the finger-stick measure ?

random blood glucose test

measures glycemic control at this moment in time only

what does hemoglobin A1c test ?

measures the glycated hemoglobin giving a more accurate measure of glycemic control over a 3 month period

whats a normal A1c ?

below 5.7 %

whats pre-diabetes A1c ?

5.7-6.4%

whats diabetes A1c ?

6.5% and above

when should u test a patient with finger stick ?

-known diabeteic before procedure

-any pt. who feels lightheaded or not well during procedure

-during med. emergency if pt. looses conciosness

what vital signs should u take when a pt. passes out ?

finger stick (glucose)

BP

pulse

when should u do a Hemoglobin A1c test ?

-known diabetic who is non-compliant w/ PCP

-unlown status but oral signs of delayed wound healing

-screening for high risk during COE / Tx planning

a score of ___ on the prediabetes risk test means you are at an increased risk for having prediabetes

5 or higher

what is fingerstick measurment unit of measurement ?

mg/dL

fingerstick measurment 54 mg/dL is ?

severe low

fingerstick measurment 70 mg/dL is ?

low

fingerstick measurment 70-125 mg/dL is ?

normal

fingerstick measurment 126-180 mg/dL is ?

high

fingerstick measurment above 180 mg/dL is ?

severe high

where do you find the physcial exam form ?

EHR --> FORMS ---> PHYSICAL EXAM FORM

when do you complete the physical exam form ?

during COE , update as needed at POE

what are the 3 tabs in the physical exam form ?

physical exam :extraoral

physical exam : intraoral

summary assesment

what are the main parts of the intraoral exam ?

periodontal survey

musculoskeletal screening

history

muscles of mastication

joint screening

occlusal survey

bony exocytosis / tissue undercuts

what are the main parts of the extraoral exam ?

vital signs

extraoral survey

extraoral survey diagram

what are the components of the musculoskeletal history screening ?

signs / symtptoms

history of pain or dysfunction in TMJ/muscle

history of trauma

history of orofacialpain and no diagnosis

where do you palpate the medial pterygoid ?

intraoral

where do you palpate the lateral pterygoid ?

intraoral

what do you do prior to the first COE appt. ?

1-review radiographs and interp.

2-enter radiographic findngs on worksheet

3-fill out the odontgram in axium

4-call patient or use or use mail in forms and fill out history

5-familiarize yourself with pt. meds

exostoses

slow grow

fine unless denture

Fordyce granules

yellow

buccal

sebaceous glands

amalgam tatoo

lingual tonsils

leukoedema

milky white

when stretch goes away

bilateral / symmetrical

buccal

wrinkles

cheek chewing (morsicatio buccarum)

along occlusal

bilateral / symmetrical

shaggy

geographic tongue

associated with immune eitology

asymp.

no txt.

trigggered by spicy food

minor apathous stomatis (apthae)

heal without scarring

1-5 lessions

7-14 days

few

short

non-keratinized

self limited

KANKER SORES

major apathae

larger

scarring

2-6 weeks

1-10 lessions per episode

any surface

frequent reoccurence

if in young pt. check for IBD

denture stomatis (erthmatous candida)

pseudomembranous candiasis

thrush

adherent white plaques resembling cottage cheese

remove with scrapping

txt. with atx.

infants affected

mild burning and unpleasent taste

median rhomboid glossitis

burn

midline

angular chelitis

anti-fungal cream

primary HSV

-at early age

-systemic symptoms

-vessicles followed by ulcers which may involved both keratnized and non-keratinized tissue

-punched out erosions in gingiva

secondary /recurrent HSV

-triggered by trauma

-keratinized mucosa

-extraoral reoccurences = herpes labialis

-intraoral reoccurences limited to keratinized mucosa

-antivirals kay shorten duration

-can give anti-viral (valtrex) before appt.

what are the differential diagnosis for white lessions ?

traumatic hyperkeratosis

oral lichen planus

hyperplastic candidasis

dysplasia (leukoplakia)