Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clinic > MH/Tx Planning > Flashcards

MH/Tx Planning Flashcards

1
Q

Components of Hx taking (6)

A

C/O:
HPC: SOCRATES

MH: any changes?
Brain problems - epilepsy, fits,seizures
Heart problems - high BP, angina, stroke, MI
Breathing problems - asthma, COPD, chest
GI issues - stomach, liver, kidney
Bleeding disorders, infectious diseases
Allergies
Diabetic
On any medications/tx from hospital at the moment

PDH:
Attendance, tx before, brushing regime/F/MW/ID brushes

SH:
Smoker - no a day, when did they start, ever quit, what do they smoke, when did they start
Alcohol - units a week, what do they drink
Job

FH:
Perio

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Components of clinical exam

A

E/O:
Asymmetry
LN
TMJ
MOM

I/O:
Labial mucosa
Buccal mucosa
H+S palate
Tongue
Tonsils
Gingivae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Components of treatment plan

A

Immediate
- Extirpation + dressing
- Temporary restorations
- Urgent XLa’s
- Abscesses
- Antibiotics

Initial:
- OHI, diet advice, F use + smoking/alcohol cessation
- PMPR
- Complete endo
- XLAs
- Michigan splint

Re-evaluation:
- Reassess perio

Reconstruction:
- Dentures
- Crowns
- Study models/diagnostic wax ups

Maintenance:
- Perio/resto/endo/smoking/diet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Components of radiographic report

A
  • Diagnostically acceptable
  • Type
  • Teeth present
  • A
  • B
  • C
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How often do we get BWS?

A

Every 6 months for HR
Every 2yrs for LR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Risks of a high BP

A

MI + bleeding risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Recommendations for a patient with high BP

A
  • Check control/recent BP results
  • Consider postponing if >160/100mmHg
  • Adrenaline LA contraindicated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Risks of angina patient

A

Angina attack + MI risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Recommendations for a patient with angina

A
  • GTN spray
  • Frequency of angina attacks
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Risks of patient with recent MI

A

Repeat MI risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Recommendations for a patient with recent MI

A

No XLas within 3mths
No GA within 6mths (50% risk of recurrence)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Risks of:
Cardiac defect
Valve replacement
Previous IE
Hypertrophic Cardiomyopathy patient

A

Increased risk of IE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Recommendations for a patient with Cardiac defects

A
  • Informed consent around risks + document in notes
  • Liaise with cardiologist + guidelines
  • If high risk consider Antibiotic Prophylaxis
  • Reinforce good OH
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Risks for a patient with liver disease

A
  • Bleeding
  • Immunocompromised cross infection risk (Hep B,C,D,E)
  • Decreased drug metabolism
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Recommendations for a patient with liver disease (2)

A
  • Liaise with doctor

Consider coagulation screening + FBC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Risk for a patient with kidney disease

A
  • Bleeding (due to platelet dysfunction)
  • Immunocompromised
17
Q

Recommendations for a patient with kidney disease

A
  • Liaise + FBC
  • Check BNF for prescription
  • Dialysis pts best tx day after for optimal renal function
18
Q

Risk for a patient with diabetes

A
  • Hypoglycaemic attack
  • Poor wound healing
19
Q

Recommendations for a patient with diabetes

A

Check control
Morning appts = blood glucose more stable
Safe if between 5-15mmol/L

20
Q

Risk for a patient with epilepsy

A

Seizure

21
Q

Recommendations for a patient with epilepsy

A

Check frequency/type of seizure
Eat before XLa
IV sedation maybe indicated as anticonvulsant effects

22
Q

Recommendations for a patient with Haemophilia A,B +VW

A

Bleeding

23
Q

Recommendations for a patient with bleeding disorders

A

Consider factor assay
50-75% factor 8 for tx
DDAVP + tranexamic acid may be required
Increased bleeding risk - hospital
NO IDB
Book early

24
Q

Risk for a patient on anticoagulants

A

Bleeding risk

25
Q

Recommendations for a patient on anticoagulants

A

If high risk
INR<4 24hrs before (72 if stable)

26
Q

Recommendations for patients on DOAC

A

Apixaban/Dabigatran - skip morning dose

Rivaroxaban - delay

Edoxaban - NA - evening dose

27
Q

Risks for patient on anti platelets

A

Bleeding risk due to inhibition of stages required for platelet aggregatio n

28
Q

Recommendations for a patient on anti platelets

A

Tx w/o interruption
Stage + suture
Liaise if combo with anticoagulants + anti platelet

29
Q

Risks for a patient with chemo/radio

A

Thrombocytopenia
Neutropenia

MRONJ
ORN
Infection
Oral candidiasis/radiation caries
Xerostomia/mucositis

30
Q

Recommendations for a patient on chemo/radio

A

Liaise with doctor
Haematologist + oncologist
Avoid XLa’s, dentally fit
Consider referral
Thrombi platelets, 5x10^9/L

31
Q

Risks for a patient on bisphosphonates

A

MRONJ (antiresorptive drugs halt bone resorption, osteoclasts + RANKL)

32
Q

Recommendations for a patient on bisphosphonates

A

Oral/IV for >5yrs
Denosumab + systemic glucocorticosteroid
Being tx for cancer
Previous MRONJ
Avoid XLas + 8 week review

33
Q

What patients do we not interrupt anticoagulants/platelet medication for?

A

Prosthetic metal heart valve/coronary stent
Pulmonary embolism/DVT in last 3mths
On anticoagulant therapy for cardioversion

Clinic (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions