History Taking Flashcards

1
Q

What are the 4 stages that lead to treatment planning?

A
  1. History (symptoms)
  2. Examination (signs)
  3. Special investigations/tests
  4. Diagnosis
    - > Treatment plan
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2
Q

In what percentage of cases does history provide a diagnosis? (without examination or special tests)

A

75%

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3
Q

What does C/O stand for?

A

Complaining of - symptoms of the disease

Ask the patient to describe the problem in his/her own words

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4
Q

What does HPC stand for?

A

History of present complaint

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5
Q

What information do you require for HPC?

A

Ask the patient to:

  • Describe the problem
  • Duration fo the problem
  • Severity of the problem
  • Exacerbating or relieving factors
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6
Q

What does the mnemonic acronym SOCRATES stand for?

A
S = site
O = onset 
C = character
R = radiation 
A = associations
T = time course 
E = exacerbating factors 
S = severity
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7
Q

What does ‘site’ of pain refer to?

A

Where is the pain/where is the maximal site of pain

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8
Q

What does ‘onset’ of pain refer to?

A

When did the pain start, was it sudden or gradual? Progressive or regressive?

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9
Q

What does the ‘character’ of pain refer to?

A

What is the pain like? An ache? stabbing?

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10
Q

What does the ‘radiation’ of pain refer to?

A

Does the pain radiate anywhere else?

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11
Q

What do ‘associations’ of pain refer to?

A

Are there any other signs or symptoms associated with the pain?

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12
Q

What does the ‘time course’ of pain refer to?

A

Does the pain follow any pattern? e.g. is it worse in the evening

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13
Q

What does ‘exacerbating/relieving factors’ of pain refer to?

A

Does anything change the pain?

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14
Q

What does ‘severity’ of pain refer to?

A

How bad is the pain?

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15
Q

What does ‘PDH’ stand for?

A

Past Dental History
Determine patient’s attitude to dentistry (are they anxious, infrequent attender)
Past dental experiences/treatments

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16
Q

What does ‘SH’ stand for?

A

Social History

17
Q

What is it important to understand a patient’s social history?

A

Understanding your patient’s social conditions will help you to plan treatment in a way that will fit in with the rest of their life

18
Q

What does PMH stand for?

A

Past Medical History

19
Q

What type of questions are on a PMH form?

A

Structured questions

Lead to a clear idea of the patient’s medical status

20
Q

Why might the timing of the appointments be important for patients with diabetes?

A

The timing of appointments in relation to dietary control of condition may be important - risk of hypoglycaemia.

21
Q

What is an important consideration for patients with epilepsy?

A

Trying to avoid removable oral appliances if possible

Denture design should provide excellent retention and stability so it does not present a choking hazard to the patient

22
Q

What effects may tricyclic antidepressants, antihypertensions and diuretics have on a patient’s oral health?

A

May cause dry mouth. This could result in:

  • predisposition to damage from minor trauma
  • predisposition to dental caries
  • potential problems with denture retention
23
Q

What can non-soluble forms of aspirin cause?

A

Ulceration - aspirin burn

24
Q

What can epanutin-dilantin and cyclosporin cause?

A

Gingival hyperplasia

25
Q

Which drugs may have a potentially serious interaction with anticoagulants?

A
  • Aspirin and other NSAIDs
  • Carbamazepine
  • Imidazole and triazole antifungals
  • Erythromycin
  • Clarithromycin
  • Metronidazole
  • Broad spectrum antibiotics (ampicillin and amoxicillin)
26
Q

What does the BNF stand for?

A

British National Formulary

27
Q

What is the purpose of the BNF?

A

The British National Formulary provides guidance on prescribing, dispensing and administering medicines.