L1- Intro and Exam Flashcards
definition of oral medicine
clinical diagnosis and management diseases speicific to the orofacial tissues
- oral mucosa
- jaws
- salivary glands
- facial pain
- TMJ disorders
and oral manifestations of systemic diseases - gastrointestinal - renal - hematologic - immunologic - STD
diseases specific to orofacial tissues
- oral mucosa
- jaws
- salivary glands
- facial pain
- TMJ disorders
oral manifestations of systemic disease
- gastrointestinal
- renal
- hematologic
- immunologic
- STD
managment of patients with severe medical problems
hospitilize dental patients for pre or postoperative care because of
- bleeding disorders
- susceptibility to shock
- severe cardiovascular disease
- susceptibility to infection
- need for heavy sedation or general anesthesia
- neuromuscular or other physical disbility
hospital oral medicine
dental treatment for patients with severe systemic diseases
evaluation of diagnostic problems for patients with problems of the mouth and jaws
oral medicine consultation
- outline used in answering consultation
summary of pertinent information history of oral complaints examination findings impressions/ differential diagnosis recommendations
rational procedures for diagnosis and medical risk assessment
- taking and recording pt’s history
- examination of the patient
- plan for treatment
- medical referral procedure
definition of symptoms and signs
symptoms – patients subjective expereinces
signs - clinicians objective observations
importance of taking and recording the patients history
gathering is essential for
- correct diagnosis
- constructive clinician - patient relationship
likely to adversely affect dental treatment
cardiac valvular disease bleeding disorders epileptic seizures immunodeficiency adrenocortical dysfunction
likely to compromise surgical procedures
diabetes mellitus
anemia
leukemia
cancers
likely to render a patient less tolerant to treatment
cardiovascular diseases
mental disorders
obstructive pulmonary disease
liver or kidney diseases
likely to cause acute allerfic reactions
allergic to medication or local anesthetic injections
likely to be transmitted to other patients or workers
tuberculosis
HIV?
hep B and C?
vital signs of patient
temperature - 98.6 F
- pulse for heart rate and rhythm 60-80 bpm
- rises 5-10 minutes in each degree of fever
blood pressure
140/5 mmhg - systolic elevaition is about equal tho 100 plus the patients age
examination of facial structures
pigmentation abnormalities
vascular abnormalities
asymmetry
ulcers, nodues, scars
lips examine
angular or vertical fissures
pigmentation abnormalities
white an red lesions
ulcerative, vesicular, and bullous lesions
cheeks examine
pigmentation abnormalities movability of the mucosa white and red lesions ulcerative, vesicular, and bullous lesions fordyce granules openings of stensons ducts
mucobuccal exam
white and red lesions
ulcerative, vesiuclar, and bullous lesions
palate exm
white and red lesions pigmentation abnormalities ulcerative, vesicular, and bullous lesions minor salivary gland abnormalities tori
tongue exam
white and red lesions
filliform and fungiform papillae abnormalities
ulcerative vesicular and bullous lesions
vascular lesions
frenal attachment
floor of mouth exam
white and red lesions
ulcers
openings of whartons ducts
minor salivary gland abnormalities
tonsils and pharynx look at
white and red lesions
salivary gland exam
parotid glands
submandibular and sublingual glands
neck and lymph nodes exam
posterior auricular preauricular tonsillar submaxillary submental
establish the diagnosis by
diagnosis
differential diagnosis
lab test and tissue biopsy
plan for tx
informed consent
and follow medical refferal procedure
most common site for oral cancer
lower lip
- extremely important to look at lower lip / pigmentatino and ulcerationse
palate is common site for
minor salivary gland tumor
