Misc Flashcards
How would you pre-operatively assess/plan for a patient with OSCC scheduled for surgery and post-operative radiotherapy?
- Patient education on potential oral side effects and strategies to prevent/mitigate occurrence
- Comprehensive oral examination several weeks before radiation begins to provide enough time if invasive procedures are necessary.
- Development of a dental treatment plan that anticipates possible complications during radiation
- Extractions done 10-21 days earlier to avoid risk of ORN.
- OH and dietary counselling
- Fluoride treatment
What structures are affected by radiotherapy?
- Skin- long term
- Mucosa
- Salivary glands- long term
- Bone- long term
What are side effects of radiotherapy dependent on?
- Dose
- Technique
- Tumour location
What are issues with xerostomia?
- Dental/mucosal issues
- Difficulty eating
- Infection
- Mucosa becomes atrophic
When is bone marrow recovered after chemotherapy?
3-4 weeks
How do we classify bone disorders on radiograph?
- Anatomic
- Artifact
- Pathologic
What condition does sterile bone inflammation mimic?
Mimic osteomyelitis on imaging and biopsy
What are some autoinflammatory disorders of bone associated with?
Chronic recurrent multifocal osteomyelitis
(skin, gut disorders OR NSAIDS, MTX, antiresorptive agents)
How can we prevent complaints being made?
- Routine practice
- Practice within limits
- Clear communication
- Seek assistance (profession association, peers, professional indemnity insurer)
- Maintain good records
What is the role of national boards?
- Protect public by ensuring only trained and qualified health practitioners who are suitably trained and qualified to practice.
- Facilitate provision of high quality education and training of health practitioners
- Assessment of trained health practitioners
What are reasons for unsuitability to hold general registration?
- Impairment
- Criminal hx
- Part 8 proceedings
- English competency
- Suspended or cancelled elsewhere
- Not sufficient recent of practice
What are the actions open to the board?
What are the actions open to the board?
How to tell difference btw MM pemphigoid and Pemphigus Vulgaris on histological slide
MM Pemphigoid will be seen in linear spaces UNDER the basal cells
- Btw the basement membrane and epithelium
How to tell difference btw MM pemphigoid and Pemphigus Vulgaris on immunofluorescence
MM Pemphigoid will be linear along the junction of basement tissue and epithelium
Pemphigus vulgaris will be intracellular → between cells
MM pemphigoid
Pemphigus vulgaris
Pemphigus vulgaris
Erythroleukoplakia
Dysplasia
- Tear shaped rete ridges
- Abnormally superficial mitosis
- Increased number of mitotic figures
What questions would you ask this patient to come to a diagnsosis? (5)
- Have you started taking any medications recently?
- (anti-things, NSAIDS, anti-hypertensives)
- Do you have any skin lesions present on your wrists/ankles?
- Do you smoke?
- Does it hurt? If so, what do you take to relieve?
- When did it appear?
