Dr.BrenDr.PatExam1-GI/Liver/Kidney Flashcards
What is the most common oral manifestation of inflammatory bowel disease?
Aphthous stomatitis (interesting!)
For an Active viral infection: active virus replication in the liver, antigen presence in the serum, signs and
symptoms of liver disease, elevated ________ for >6 months, persistent hepatic cellular necrosis
liver enzymes
What are the most effected coagulation factors affected in Hepatitis?
Vit K dépendez factors (1972) II, VII, IX, X
**What are the standards for both platelet count and INR for a patient with liver disease?
INR less than 3.5 and a platelet count over 50,000
What are three main items to look for in a med consult with a patient with liver problems?
platelet count, liver function, and PT/INR
You can do extractions if a liver disease patient is under 50,000 platelet count?
Yep, same day as a transfusion! (6hr window)
What amount of lidocaine is considered limited for liver disease patients?
120mg
What is the critical GFR for dental treatment? What about albumin-creatinine ratio?
GFR greater than 50mL/min…albumin-creatinine ratio greater than 30mg/g
What are three oral manifestations/higher risk for patients with Chronic Kidney Disease?
1.Gingivitis 2.perio disease 3.DMFT
What are the 4 principles for treating patients with Chronic Kidney disease?
1.Ability to withstand dental care 2.hemostasis 3.infection 4.drug interactions
What should the hematocrit level be higher than for dental treatment?
greater than 25%
What doe the absolute Neutrophil count need to be higher than for dental tx?
500mm3
Chronic Kidney Disease is defined as Progressive, asymptomatic decline in renal function for MORE THAN ____ months
3 months
Chronic Kidney Disease is defined as decreased GFR (LESS THAN ____ mL/min) OR urine ______:_____ ratio >30mg/g
less than 60 mL/min…..albumin:creatinine
What are the two most common co-morbidities associated with CKD? Which sex is it more common?
HTN, DM…FEMALES
YOU GOT THIS WRONG ON THE EXAM: GFR RANGE OF ____ for STAGE 1 CKD
90 plus, with Kidney damage
YOU GOT THIS WRONG ON THE EXAM: GFR RANGE OF ___-___ for STAGE 2 CKD
60-89
YOU GOT THIS WRONG ON THE EXAM: GFR RANGE OF ___-___ for STAGE 3 CKD
30-59
YOU GOT THIS WRONG ON THE EXAM: GFR RANGE OF ___-___ for STAGE 4 CKD
15-29
YOU GOT THIS WRONG ON THE EXAM: GFR RANGE OF _____ for STAGE 5 CKD
less than 15
YOU GOT THIS WRONG: What are the 7 consequences of CKD?
DAB SHEI….1.Drug intolerance 2.Anemia 3.Bleeding 4.Skeletal 5.HTN 6.Electrolytes 7.Infection
What are the 4 labs indicated for a med consult for a patient with CKD?
1.GFR 2.Serum Creatnine 3.Creatnine Clearance 4.Hemoglobin/Hematocrit
4 Key oral manifestations of CKD….
1.Candadiasis 2.Gingivitis/PerioDisease/Caries 3.Xerostomia 4.Uremic Stomatitis
What are 3 important principles for treating a pt with CKD?
1.hemostasis 2. infection 3. drug interactions/dosages
What are the platelet and hematocrit standards for a patient with CKD?
platelet over 50,000….hematocrit over 25%
What is the absolute neutrophil count standard for a pt with CKD?
over 500
What is the GFR standard for altering DOSE of drugs in a pt with CKD?
GFR under 50 (she clarified this later)
Which stage CKD do we need to obtain a Med Consult? What is the GFR range for this again? :)
Stage 4 or higher…GFR of 15-29
What are the ABC’s of dental modifications with CKD pt’s?
A-Analgesics & Abi B-Bleeding C-Chair position D-Drugs E-Emergencies
What is the most common condition causing liver disease?
viral hepititis
What is the IRREVERSIBLE liver condition that leads to fibrosis?
cirrhosis
What are the three most common causes of lichen planus?
1.Hep C 2.Nsaids 3.HTN,Cardio,Arthritis Meds
