Oral Diagnosis Flashcards
Correct diagnosis is often a result of
Complete and thorough examination
Accurate History primary purpose is
To provide basis for determining how the patient’s physical status may be affected by dental therapy
Essential/Most important procedure in diagnosis is the
Development of case history
Most important way of obtaining chief complaint
Be unhurried / “not to hurry”
most difficult and most common to evaluate chief complaint
Odontalgia “tooth ache”
term experienced by a patient
Symptoms
term detected by the examiner
Sign
1 or more significantly unique sign and symptom that distinguish 1 disease from another
Pathognomonic Sign
Butterfly rash
Systemic lupus erythematosus / Liver disease.
Bull’s eye lesion, target lesion, iris lesion
Erythema Multiforme / Lyme disease
Nikolsky sign
Pemphigus vulgaris
Most important factor that determines prognosis - result of treatment
Severity
The review of illnesses, injuries, operation & hospitalization from childhood disease to present complaint
Past medical History
Normal Blood pressure
120/80
normal Pulse rate
60-100bpm
normal respiratory rate
16-20bpm
the difference of systolic pressure and diastolic pressure is called
Pulse Pressure
normal pulse pressure: 30-40mmHg
1st audible sound in stetoscope
Korotkoff Sounds
Average age to diagnose ameloblastoma is
34 y/o
average age to diagnose tic doloureux
30 y/o
Lead poisoning
Plumbism
excessively moist skin patient
Anxiety
what neurotransmitter is decreased in Parkinson’s disease
Dopamine
anti-viral drug that is also used and effective in Parkinson’s disease
Amantadine - used for Influenza/flu
a combination of verbal and motor tics
Tourette’s Syndrome
Complete inability to speech
Aphasia
Broca’s area is located at
Frontal lobe of cerebrum
Wernicke’s area is located at
Temporal lobe
Broca’s area is responsible for
Production of speech
Wernicke’s area is responsible for
Comprehension
characterized by partial loss of the ability to produce language or speech
Expressive aphasia
The patient cannot understand words or recognize symbols, whether they are auditory, tactile, or visual
Receptive aphasia
Combination of Receptive and expressive Aphasia
GLOBAL APHASIA
Assessment IPPA
Inspection, Palpation, Percussion, Auscultation
Abdomen Assessment
Inspection, Auscultation, Percussion, Palpation
Radiographic examination is a form of
Inspection
Most common site of torus
Palatal area
Most commonly used clinical test
Percussion test
Most commonly used clinical tool
radiograph
how to assess bruit?
Auscultation
how to assess a thrill
palpation
Px with Diabetes M. has a ____ breath
Acetone
Px with liver disease has a ___ breath
Mousy
muscles of mastication that elevates the mandible
Temporalis, Internal Pterygoid, Masseter
muscle that depress and protrude mandile
External Pterygoid
MOM that elevates and retrude the mandible
Temporalis
Which of the following does not have cafe au lait spots
A. mcCune Albright syndrome
B. Addison’s disease
C. Von reckling hausens disease / Neurofibromatosis
D. Hypothyroidism
E. Hyperthyroid
E. Hyperthyroid
Anesthetic agent that increases the amount of methemogloblin
Prilocaine
Prilocaine is contraindicated in patients with?
COPD, respi problem.
the percentage of RBC in blood is
Hematocrit
O2 carrier
Hemoglobin
high amount of RBC is called
Polycythemia
Has the increase amount of bilirubin
Hemolytic anemia
3mm - 1cm vascularity, “Non blanching” purplish spots due to bleeding vessels near the surface of skin
Purpura
<3mm small pinpoint.
ex. Herman’s sign: DHF - Rumpel leede test / capillary fragility / Torniquet test
Petechiae
> 1cm “Contusion” larger purpura spots, bleeding underneath.
Ecchymosis
Localized collection of blood outside a vessel, Solid swelling of blood clot.
Hematoma “Bruise”
Which of the following causes red lesion
A. Purpura
B. Perleche
C. Angular Cheilitis
D. Stomatitis
A. Purpura
Circumscribed, flat non-palpable
Up to 1cm
Macule
ex. Freckles “ephilis”, Petechiae
Palpable elevated: Solid mass
Approx. 0.5cm
Papule
Palpable elevated: Solid mass
0.5 - 2cm
Nodule
Palpable elevated: Free Fluid
>0.5cm
Bulla
ex. Large Blister
Palpable elevated: Free Fluid
Up to 0.5cm
Vesicle
ex. Herpes
Palpable elevated: Free Fluid
Acne
Pustule
Monroe’s abscess
Psoriasis
most common form of candidiasis
Pseudomembranous type
Bird-face
Pierre-robin & Treacher collins
Monkey face
Marasmus
Lion-like face
Leprosy, Paget’s disease
Angel-like face
Cherubism
Near vision in called
Myopia
Hyperopia
Far sighted
Cloudy vision, opacity of lens
Cataract