Painful conditions Flashcards
when can you prescribe mouth rinse in children?
6+ years
What is Reye’s syndrome?
Increasing levels of NH3 and H+ in blood
brain swell and liver inflames
When does Reye’s syndrome occur?
Viral illness and treated with aspirin
What would you prescribe for Reyes’ syndrome?
Paracetamol or ibuprofen
What is sepsis?
Spectrum disorder resulting from infection by bacteria, virus, fungi, parasites or toxic products
Immune overreaction - inflammation, blood flow problems, low BP
Symptoms of sepsis?
Five/shivering/cold Rapid breathing Pain Pale/mottes skin Disorientated/confused/sleepy elevated HR
What do you do if a patient shows any symptoms fo sepsis?
999 or A and E
Treatment of teething?
Massage
Dry the drool
Teething toys/foods
Topical analgesia, systemic analgesia
Complications with teething?
In pain so don’t want food/fluids = dehydration
- check when they last drank and if they are still making wet nappies
What topical analgesia is used?
Bonjela/calgel - lignocaine
What systemic analgesia can eb prescribed?
Paracetamol
ibuprofen - form 6 months and not asthmatic
When are natal/neonatal teeth removed?
Excessively mobile - airway risk
Interfering with infant feeding
Inflammation of tongue
Natal vs neonatal teeth?
Primary teeth erupting at birth or 30 days after birth
tend to be hypo plastic
Management of eruption cysts?
Generally go as the tooth erupts so leave
What is gingivitis artefacts/factitious gingivitis?
Loss of attachment of gingiva due to picking with nail or biting pencil etc
Management of symptomatic treatment of physical conditions e.g. bitten nail in gingiva?
Remove cause OHI Manage ulceration -chlorhex Prevent secondary infection Soft diet Review
management of chemical conditions?
Symptomatic treatment OH fluids Bed rest if systemically unwell CHlorhex
Necrotising ulcerative gingivitis manfiestation
Loss of interdental papillae
Grey green slough in place
erythema
smell
Cause of necrotising ulcerative gingivitis?
Spirochetes
Exacerbated by malnutrition, stress, smoking
Treatment of necrotising ulcerative gingivitis?
Eliminate cause - immunosuppresion , malnutrition, smoking OH Debridement Systemic antimicrobial Support and maintain
What develops of necrotising ulcerative gingivitis is not treated?
Cancrum oris
Manifestation of acute peudomembrnaous candidiasis (oral thrush)
White patches can be scraped away
Thrhs vs milk tongue
Scrape away - if red underneath = thrush, if healthy = milk
Treatment of candida infection?
Understand cause
- remove –> OHI, cleaning, education
Antifungal treatment
