Other Flashcards

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1
Q

What does the oral contraceptive pill comprise of

A

Varying proportions of synthetic oestrogens and progestogens

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2
Q

What are some risks associated with the oral contraceptive pill

A

1, Increased risk of thromboembolic disease (DVT)
2. Hypertension
3. Diabetics tendency

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3
Q

What can the oral contraceptive pill be given as

A
  1. Combined oral contraceptive (oestrogen and progesterone)
  2. Progesterone-only contraceptive
  3. Oestrogen only (‘morning after’ pill).
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4
Q

What effect can oestrogen have on dental management

A

Increases plaque induced inflammation and gingival crevicular fluid crevicular
Can cause gingival pigmentation
Increases incidence of dry socket

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5
Q

Give examples of drugs that can reduce the efficacy of oral contraceptives

A
  1. Carbamazepine
  2. Phenytoin
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6
Q

What is phaeochromocytoma

A

a rare cause of hypertension

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7
Q

What is phaeochromocytoma caused by

A

Usually benign tumour of the adrenal medulla producing excess adrenaline

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8
Q

Give some of the symptoms of phaeochromocytoma

A
  1. episodic and consist of headaches
  2. palpitations and sweating
  3. pallor
  4. hypertension.
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9
Q

What considerations should we make is a patient has phaeochromocytoma

A

Local anaesthetic injections with adrenaline should be avoided

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10
Q

What is the tx for phaeochromocytoma

A

surgical, and both α- and β-blockers are used to prevent hypertensive crises during such surgery.

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11
Q

What points should we remember to check in the thirsty of a dental patient with an endocrine disorder

A
  1. Diabetes mellitus hisotry
  2. Thyroid disorders: Is the patient hyperthyroid or hypothyroid?
    3, Does the patient take oral contraceptive?
  3. Is the patient pregnant? If so, at what stage of pregnancy?
  4. History of:
    -Cushing’s disease/syndrome
    -Addison’s disease
    - Hyper- or hypoparathyroidism
    - Crohn’s syndrome
    -Phaeochromocytoma
    -Diabetes insipidus
    -Acromegaly
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