medical history taking

Question 1

why is medical history important?

Answer 1

in order to safely treat your patients it is imperative to ascertain and understand the important points in their medical history

Question 2

what does a medical history allow?

Answer 2

safe tx
possible drug interactions when prescribing
to risk assess the likelihood of a medical emergency in the dental setting
to give a complete history to emergency services if needed

Question 3

what should you do before taking complaining of?

Answer 3

introduction

Question 4

what is hx of presenting complaint?

Answer 4

px words of events surrounding presenting complaint

Question 5

what is socrates used for?

Answer 5

pain history

Question 6

what should be asked about onset?

Answer 6

was it sudden?

was it during exertion or rest?

Question 7

what should be asked bout character?

Answer 7

aching/crushing

sharp

Question 8

what should be asked about radiation?

Answer 8

left arm/jaw

back

Question 9

what should be asked about associate symptoms?

Answer 9

dispnoea
sweating
neusea
cough
palpitations
faint

Question 10

what should be asked about time?

Answer 10

duration

improving/worsening

Question 11

how should you take a past medical hx?

Answer 11

systemic approach

-“any medical problems?” insufficient

Question 12

what should be asked about cardiovascular?

Answer 12

blood pressure
cva- stroke
cardiac
angina
mi
-medical tx
-stents
-CABG
valvular dx

Question 13

what should be asked about respiratory?

Answer 13

infections
-pneumonia
airflow obstruction
-asthma
-COPD- chronic bronchitis/emphysema
gas exchange failure
-fibrosis
OSA- sleep apnea
tumours

Question 14

what should be asked about GIT?

Answer 14

stomach
-reflux
bowel
-crohns
-ulcerative colitis
liver
-ALD
-cirrhosis

Question 15

what should be asked about neurological?

Answer 15

fits
-seizure control
-precipitating factors
-change in meds
faints
headaches

Question 16

what should be asked about endocrinology?

Answer 16

diabetes
-type
thyroid dysfunction

Question 17

what should be asked about musculoskeletal?

Answer 17

pain, swelling, stiff joints
arthritis
joint prosthesis
osteoporosis

Question 18

what should be asked about blood disorders?

Answer 18

excessive bleeding after cut
issues w/ tooth extraction
hep B, hep C, HIV
haemophilia A+B

Question 19

what other questions should be asked?

Answer 19

other medical conditions
previous hospital admission
previous surgery

Question 20

what should be asked about current medications?

Answer 20

prescribed or otherwise
ask about inhaled/topical
OCP
homeopathic

Question 21

what drugs are notable in dentistry?

Answer 21

anticoagulants
-warfarin
-factor 10a inhibitors
-> rivaroxiban, apixiban
antiplatelets
-clopidogrel, aspirin
bisphosphonates
-alendronic acid
steroids in last 2 years eg londterm prednisolone

Question 22

what other question should be asked?

Answer 22

any allergies

Question 23

what info should be past dental history?

Answer 23

regular attender
phobias
adverse effects to LA
hx of bleeding after extraction
tx under sedation

Question 24

what info should be in social history?

Answer 24

alcohol
-what & how much
smoking
occupation
exercise
recreational drug use
living situation
house/flat
who live with
mobility
carers
activities of daily living
-hygiene, cooking, housework, shopping

Question 25

what should be asked in family history?

Answer 25

cardiovascular dx at young age
are parents in good health
-genetic predisposition