1 - Oral Diagnosis and Treatment Planning Flashcards
(29 cards)
what is clinic policy regarding patients with visible Herpes Labialis
shall not be treated unless an emergency. can be seen if lesion is in crusted stage 10-14 days after onset.
where are HSV lesions present
lips and or perioral structures
what is the development of procedural roadmap agreed to by patient and practitioner to arrive at highest level of oral health availble to patient
treatment planning
what findings are gethered to determine diagnosis
- signs
- symptoms
- chief complaints
what are findings determined from examination
signs
what are findings derived from patient interview
symptoms
what is the motivating symptom
chief complaint
what is the diagnostic pathway
information -> evaluation -> problems -> diagnoses
information gathering must be ___ and ___
systemic and consistent
what is the best way to avoid medical emergencies
get a thorough patient history
T/F: you only have to sign and date SOME procedures
false! sign and date all the time. if not signed, it never happened
what does the physical examination include
BP and pulse, but also observations regarding patient weight, exposed skin, general level of cognitive functioning (e.g., head lice example)
what is a precise term used to describe a deviation from normal, derived from examination findings thru deductive reasoning
diagnosis
what are the 3 types of diagnosis. explain each
- definitive - high certainty
- differential - several possible diagnoses
- tentative - no a certain diagnosis but treatment is immediately necessary
you should never begin treatment without a what
diagnoses
how m any discreet diagnoses in the treatment plan tab in axium
736
T/F: the dentist owes the patient that degree of skill, care, and judgement possessed by a reasonable dentist
TRUE! this is the doctor-patient relationship and professional liability
should you ever give patients the original chart or radiographs?
NO! only give copies
can you be held liable in errors in clinical judgement if errors were based on sound clinical reasoning?
NO! that’s why you document
what is the age of majority in Nebraska
19
how to inform the patient of termination
informed in writing
can you terminate the patient if in the middle of treatment
Yes! as long as lack of further treatment will do no harm to patient
when patient is referred to specialist, what must you do
document the reason for referral
what is the right of a COMPETENT ADULT to decide what happens to his or her body
consent
