Human Disease Flashcards
What are the symtoms of an addisonian crisis?
Vommiting
Abdominal pain
Profound weakness
Hypovolaemic shock
severe blood/fluid loss makes the heart unable to pump enough blood
What type of anaesthesia can be given to patients with mild haemophilia?
(what method of anaesthesia)
Infiltrations can be given (slow injection)
ID blocks may need tranexamic acid
Helps to stop blood clots from breaking down, so it reduces bleeding
What position should you place a patient in who is suffering from anaphylaxis?
Lay patient flat and maintain airways
If a patient with known DM becomes sweaty in the dental chair what should you do?
Check if patient has eaten and give them some glucose
Check their blood glucose (BM)
How should you manage treatment such as root canals for a patient who is awaiting a kidney transplant?
Transplant recipients will be immunosuppressed so essential that they are made dentally fit and have no sources of infection.
So any tx like RCT or XLA should be completed before transplantation
What is the most common cause of end-stage renal failure?
Diabetes Mellitus
What are some dental features of Paget’s disease? (4)
Hypercementosis of teeth (difficult XLAs)
Alveolar ridges increase in size so new dentures may need to be made
Radiographs may be radiolucent along with sclerotic areas
Symptoms of cranial nerve compression
List some common symptoms of hypothyroidism
Lethargy
Cold intolerance
Dry hair
List fat soluble vitamins
Vitamin A
Vitamin D
Vitamin E
How can vitamin D deficiency affect bones?
Can result in skeletal decalcification
Define a simple fracture
No communication between bone and exterior
skin is intact
What conditions may a patient take bisphosphonates for?
Osteoporosis
Pagets disease
Osteogenisis imperfecta
Metastatic bone disease
Multiple myeloma
List the drug classifcations for the following drugs
Clopidogrel
Heparin
Warfarin
Clopidogrel - Anti platelet
Heparin - Glycosaminoglycan
Warfarin - Anti coagulant
Comment on the prothrombin time of patients with haemophilia
Prothrombin time is normal
What type of conditions may patients take anticoagulants for?
Atrial fibrilation (irregular HR)
Previous Deep vein thrombosis (clot in vein)
Prosthetic heart valves
What patients are at an increased risk of addisonian crisis?
Addison’s disease (adrenal insufficiency)
Secondary hypoadrenalism
Long-term steroid therapy
What are the haemoglobin levels for anaemic male and female patients?
Below 11.5 g/dl in females
Below 13.5 g/dl in males
What is Hashimoto’s disease?
Autoimmune disease leading to the destruction of the thyroid gland
Comment on what analgesics can be given for dental pain to a patient with chronic renal disease
Paracetomol is fine
NSAIDS should be avoided