Patient Care 2: Exam 1 Flashcards
Gait- ____ paralysis one side, usually from a strok
hemiplegia
Gait- ____ paralysis both sides
Paraplegia
Gait- _____ weakness one side
Hemiparesis
Gait- _____ weakness on both sides
Paraparesis
___ is the presence of abnormal and uncoordinated movements
ataxic gait
Ataxic describes ___ and ___ without reference to specific diseases
signs and symptoms
____ motor disturbances resting tremors
Parkinsonian
Tremor, rigidity, postural instability, hypokinesia are signs of ___
Parkinsonian
____ is taking small shuffling steps
parkinsons gait
What to do if your patient is in a wheelchair?
leave in wheelchair if possible
Tall, thin, arachnodactily, wingspand > height, chest cocavity, heart murmur are signs of
marfans
Scoliosis and kyphosis are signs of
marfans
What do you check for head and neck exam
HEENT
head
eyes
ears
nose
throat
What is a prognathic profile?
When the mandible is more forward
What is a retrognathic profile
When the maxilla is more forward
What to look for in head and neck exam?
look for lumps in neck, hoarseness
scratchy throat
pain in neck, jaws or ears
and TROUBLE SWALLOWING
Dentist must be aware of the ___ and ___ of the cancer and prepare for complications
Type and Extent
What are the precautions of cancer
chemotherapy
head and neck radiation therapy
med consult
Where to look for skin leasions at
hands, arms, neck, face and ears
Forms of rash, mole and patch
Skin lesions can come in forms of ____
chronic, non healing
change in preexisting lesion
sun exposure
What is the most common skin lesion
basal cell
What are characteristics of basal cell
located in middle 2/3 of face
wont heal
benign
What are characteristics of squamous cell carcinoma
irregular borders
crusty surface
thick rough scaly patches
Squamous cell carcinoma comprises ___ of all oral cancers
90%
Characteristics of melanom
multiple colors
irregular borders
What does this describe: nodular melanomas are aggressive lesions that have only VERTICAL GROWTH
melanoma
____ lid lag, and can be a sign of a stroke
Ptosis
_____ is excess spacing between eyes
ocular hypertelorism
____ should react equally to light
pupils
_____ are abnormal protrusion of eyes
exophthalmos
Expophthalmos are signs of _____
hyperthyroidism
yellow sclera is a sign of ____
hepatotoxicity
Whta do lymph nodes do
filter
Thymus, spleen, and bone marrow are apart of what
lymphatic system
lymph nodes are present in ___
cervical, axillary, inguinal, internal
infected lymph nodes will be __,___,____
firm, tender and enlarged and warm
____ may also involve the lymph nodes or as a site of metastasis.
maligancies
Maligancies nodes can be ___,___,___,____
firm, NON TENDER< matted and fixed
Healthy lymph nodes feel ___ and ____
soft and moveable
lymphadenopathy can have abnormality in _____, ___,_____
size, consistency and number
location, size, tenderness, consistency, mobility describe what ____
lymphadenopathy
What is the most common lymphadenopathy
cervical
what are clues tor outline swelling from recent infection
tender
mobile
viral infection
bilateral
predictable location
long duration with no change
____ infection of the parotid gland
mumps
What are you checking for in a thyroid exam
asymmetry or lumps and is hard to palpate
where is angular cheilitis
at the corner of the mouth
joint pain
headahces
tinnitus
insomina
neck ache
teeth sensitive
are signs of ??
TMD
bruxism
clenching
stress
malocclusior
arthritis
trauma
stimulants
These are causes of?
TMD
What are the 3 broad classes of TMD
muscles
soft tissue
hard tissue
Temporalis= ___teeth
anterior
Masseter= ____ teeth
posterior
What to look for when TMD palpation
discomfort
look for altered opening and closing pathways, and tenderness and limitations in opening
Signs of TMD
excessive occlusal wear, scallope tongue,
The 3 points of a night guard is ___
- redistribut occlusal forces
- relax the masticatory muscles and stabilize the joint
- protect dentition and dental work
Treatment of TMD
anti inflammatory
anti anxiety
muscle relaxer
What can you do for TMD
physical therapy or surgery
