making a diagnosis Flashcards
1
Q
what are the 10 steps of making a diagnosis?
A
- C/O what is the patient complaining of
- HPC history of present complaint
- PMH past medical history
- PDH past dental history
- SH social history
- O/E on examination
- S/I special investigation
- diagnosis
- prevention
- treatment
2
Q
what must you ask the patient to obtain the history of present complaint
A
- describe the pain
- duration of problem
- severity of problem
- exacerbating or relieving factors
3
Q
what information would you want to obtain when taking a patients past dental history
A
- patients attitude to dentistry (regular attender or not, last treatment)
- past dental experience
4
Q
what information would you want to obtain when taking a patients social history
A
- tobacco and alcohol
- work
- stress
- carer
- occupation
5
Q
how would you examine the patient after taking their history?
A
- extra oral examination (muscles, joints, nodes, symmetry, aesthetics)
- intra oral examination (signs of disease, soft and hard tissues, lister-percussion, palpate)
6
Q
what special investigations may you carry out?
A
- sensitivity or vitality test
- mobility test
- radiograph
- plaque score
- biopsy
7
Q
what might a provisional diagnosis be?
A
- trauma
- idiopathic
- inflammatory
- neoplastic
- autoimmune
