general clinical practice Flashcards
what is included in a clinical history when seeing a patient for the first time?
Complaining of
history of presenting complaint
medical history
dental history
social history
family history
extra oral examination
intra oral examination
what is included in a medical history during a clinical examination?
heart
chest
bowels
epilepsy/seizures/fits/faints
diabetes/ thyroid
bones/joints
blood disorders
medications
previous hospital admissions
allergies
what is included in a past dental history during a clinical examination?
regular attender
phobia
adverse side effects to LA
excess bleeding after extraction
treatment under sedation
what is included in a social history during a clinical examination?
alcohol/smoking/drugs
occupation
exercise/hobbies
living situation
mobility/carers
what are the functions of a dental dam?
- airway protection
- soft tissue protection
- improved access and vision
- moisture control
why would rubber dam be contraindicated for a fissure sealant?
- poor co-operation
- latex allergy
- no need for LA
- less invasive options available
how do you take a pain history?
S- site
O- onset
C- character
R- radiation
A- associated symptoms
T- times
E- exacerbating factors
S- severity
what are the 6 steps of hygienic hand wash?
- rub hands palm to palm
- palm over dorsum w interlaced fingers
- palm to palm fingers interlaced
- backs of fingers opposing pals w fingers interlocked
- cleaning of thumbs
- cleaning of finger tips
how long should a surgical hand wash last?
3-5 minutes
what are the steps of a surgical hand wash?
- carry out hygienic hand wash with soap and water
- use right elbow to put 5ml alcohol based hand wash into left hand
- spend 5 seconds disinfecting right fingernails in the gel
- spend 10-15 seconds covering right forearm and elbow in the hand wash using circular movements
- repeat on opposite side
- complete hygienic hand wash again with hand rub
- wait until hands are dry to put on gloves
what PPE would you wear whilst treating a patient in the clinical setting?
- gloves
- mask
-visor
-apron
what PPE would you wear whilst carrying out a surgical procedure on a patient?
- mask
- visor
-cap
-gown - gloves
what are the phases of treatment planning?
- urgent phase
- control phase
- re-evaluation phase
- definitive phase
- maintenance phase
what patients would you not give NSAIDs to?
-pregnant/breastfeeding
- warfarin
-asthma
- peptic ulcers
- long term steroids
what is the max dose of ibuprofen in 24 hours?
2.4g
how would you determine if a patient has Sjogrens syndrome?
- dry eyes and mouth
- blood tests to check for anti- La antibody
- histopathology assessment
what are the signs and symptoms of Sjogrens syndrome?
xerostomia
dysphagia
dysarthria
burning sensation in the mouth
increased risk of oral infection and caries
long term risk of salivary lymphoma
