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Systemic Disease in Dentistry > Medical History and the Dentist > Flashcards

Medical History and the Dentist Flashcards

1
Q

Name 5 reasons to take a history

A
  1. Establishes identities and role of consultation
  2. Establish communication, rapport and trust
  3. Gathers information for diagnosis
  4. Monitoring medical condition
  5. Basis to determine modifications to routine dental care
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2
Q

What are 5 differences between medical and surgical history?

A
  1. Multisystem v Single System
  2. Chronic v Acute
  3. Multi Drug v Fewer Drugs
  4. Disabling v Often Recover
  5. Diagnosis History: 80% v Diagnosis History: 20%
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3
Q

What are 3 examples of demographics during a history taking?

A
  1. Age
  2. Occupation
  3. Where a patient comes from
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4
Q

Describe the 5 steps to starting a history

A
  1. Introduction
  2. Confirm patient identity
  3. Explain what you want to talk about
  4. Gain consent
  5. Start with an open ended question
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5
Q

What are the components of history taking?

A
  • Presenting complaint
  • History of presenting complaint
  • Past medical/dental history
  • Drug history
  • Family history
  • Social history
  • Systems review
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6
Q

What does the “ICE” acronym stand for with regards to a presenting complaint?

A
  • Idea
  • Concerns
  • Expectations
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7
Q

What is a presenting complaint?

A

Main symptoms which have resulted in attendance at consultations

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8
Q

What is the acronym for taking a pain history?

A

SOCRATES

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9
Q

Describe the SOCRATES acronym

A
  • Site
  • Onset
  • Character
  • Radiation
  • Associations
  • Time
  • Exacerbating / Relieving factors
  • Severity
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10
Q

What is a patient’s past medical history?

A

The total sum of a patient’s health status prior to the presenting problem to include any past surgical and medical problem

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11
Q

What 5 things should be enquired about when taking a past medical history?

A
  1. Diagnosis
  2. Complications
  3. Treatment
  4. Current situation
  5. Under review
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12
Q

Name 7 common illnesses which may arise during a previous medical history

A
  1. Myocardial infarction
  2. Jaundice
  3. Hypertension
  4. Epilepsy
  5. Asthma / COPD
  6. Diabetes
  7. Stroke
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13
Q

Why may a drug history be valuable to a dentist?

A
  • Idea of treatment responses
  • Symptoms may be related to drug side effects
  • Clues about medical history the patient has not provided
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14
Q

Give 3 examples of drugs which can cause oral complications

A
  1. Calcium channel modulators e.g. amlodipine
  2. Hydroxychloroquine
  3. Methotrexate and NSAIDs
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15
Q

What are the components of taking a drug history?

A
  • OTC or illicit drug use
  • Indications for use and response to treatment
  • Monitoring
  • Dosage and frequency
  • Allergies or adverse reactions
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16
Q

Why may a family history be valuable to a dentist?

A

It can provide information about the risk of rarer conditions or illnesses which would affect family environment

17
Q

Name 5 components of social history

A
  1. Drugs / Alcohol
  2. Smoking
  3. Marital status
  4. Health and relationship well-being
  5. Occupation
18
Q

How is smoking pack year calculated?

A

Packs smoked per day x years of smoking

19
Q

Name 4 systems screened in the systems review?

A
  1. Cardiovascular
  2. Respiratory
  3. GIT
  4. Neurological
20
Q

Name 5 symptoms of a general systems review

A
  1. Weight
  2. Appetite
  3. Lethargy
  4. Fever
  5. Mood
21
Q

Describe possible symptoms associated with a cardiovascular systems review

A
  • Chest pain
  • Dyspnoea
  • Exercise tolerance
  • Ankle swelling
  • Palpitations
  • Claudication
22
Q

Describe possible symptoms associated with a respiratory systems review

A
  • Chest pain
  • Cough
  • Sputum
  • Haemoptysis
  • Wheeze
  • Fever
23
Q

Describe possible symptoms associated with a GIT systems review

A
  • Abdominal pain
  • Weight loss
  • Dysphagia
  • Dyspepsia
  • Nausea
  • Bowel habit
24
Q

Describe possible symptoms associated with a neurological systems review

A
  • Fits
  • Faints / Falls
  • Headaches
  • Weakness
  • Speech problems
  • Blackouts
25
Q

What are the 3 components of closure in a history taking?

A
  1. Summarise main points of history
  2. Ask any outstanding questions
  3. Use it to plan the next step

Systemic Disease in Dentistry (22 decks)

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