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How can a dental professional determine the natrue, severity, and stability of a pts medical condition?
by looking at the pts health history
Risk assessment involves the evaluation of what 4 components?
- nature, severit, and stability of pt's medical condition
- functional capacity of pt
- emotional status of pt
- type and magnityed of the planned procedure (invasive or noninvsive)
What are the 2 basic techniques used to obtain a medical history?
- printed questionnaire followed by follow-up questions
In addition to a medical history, the dental pt should be afforded the benefits of a simple _________ _______
The simple physical examination should include what 3 assessments?
- general appearance
- measurement of vitals
- examination of head and neck
true or false. By observing a pts outward appearance we may be able to identifiy signs of possible trouble
Name 8 outward appearances we might observe that would be signs of possible trouble
- lethargic demeanor
- cacnetic appearance (general ill health with emaciation)
- body odors
- staggering or halting gait
- extreme thinness or obesity
- difficulty breathing
Why should the dental probessional be sensitive to breath odors?
they might indicate different systemic problems
acetone odor on breath may be associated with what?
ammonia odor on breath may be associated with what?
- renal failure
- putrefaction of pulmonary infections
- alcohol - possibly associated with alcohol abuse or liver disease
Why is it important to observe the skin and nails in a physical exam?
changes in the skin and nails are frequently associated with systemic disease
cyanosis and nails may be associated with what systemic disease?
cardiac or pulmonary insufficiency
Skin yellowing may be associated with what systemic disease?
pigmentation of skin may be associated with what systemic disease?
petechiae or ecchymoses can be signs of what?
a blood cyscrasia or bleeding disorder
Alterations in the finger nails such as clubbing is seen in what?
white nails are seen in what?
yellowing of nails may be from what?
splinter hemorrhages may be from what?
alterations in nails are usually caused by ________ disorders
the dorsal surface of the hands, bridge of nose, infraorbital regions, and ears are common sites for ______ _______ and _____ _______
basal cell carcinomas (skin cancer)
What are the 5 areas that are important to observe about a pts general appearance?
- skin and nails
- eyes and nose
large and coarse features of the face might indicate what?
pale, edematous features of the face might indicate what condition?
moon facies of the face might indicate what condition?
dull puffy facies might indicate what condition?
unilateral paralysis of the face might indicate what condition?
What condition might cause an eye lid reaction resulting in a wide-eyed stare?
What condition of the eyelids causes xanthomas, or yellow splochiness?
What condition might cause yellowing of the sclera of the eye?
What 3 things might cause reddened conjunctiva of the eye?
- sicca syndrome
What condition should be inspected on the helix or antihelix of the ear?
An earlobe crease occurs more in pts with what disease than those without it?
coronary artery disease
_________ or pre-_________ lesions may be found on and around the ears
What two things should the neck be checked for in a physical examination?
What would you like to do?
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