Patient Evaluation Flashcards
1
Q
Main aims and objectives of diagnostic procedure
A
Helps determine
- Choice of anesthesia
- Whether patient can withstand general anesthesia
- Abnormalities in patients general health
- Choice of premedication
- Tailored treatment plan for patient
2
Q
4 steps of history taking
A
- General information about patient(age, sex, martial status, address, race and occupation)
- Chief complaints
- Past/present medical history
- Personal and family history
3
Q
Chief complaints
A
- All symptoms chronologically(onset and duration)
- Previous treatment and response
- History of trauma, unconsciousness, vomiting, bleeding
4
Q
Past/present medical history
A
Obtain a detailed picture of history
- Cardiovascular disorders (MI, IHD, Hypertension, medications)
- Respiratory diseases(COPD, Asthma, medications-effect on anaesthetics)
- Neurological conditions(epilepsy)
- Endocrine disorders(Thyroid, diabetes, medications)
- Haematological disorders(anaemia, leukaemia-blood counts)
- Infectious diseases(TB, Syphilis, hepatitis)
- Reproductive system(pregnancy, lactation-antibiotics may effect oral contraceptives)
- -Gastric disorders(ulcers, vomiting diarrhoea)
- Digestive system
- Psychiatric ailments and medications
- Current medications and allergies
5
Q
Personal and family history
A
- Habits and social history
- Lifestyle
- Habits (tobacco, alcoholism, drug use)
- Family history(disease, age, health status)
6
Q
Clinical examination
A
-Begins as patient enters clinic(general condition and psychological status)
Four main aspects of examination(Inspection, palpitation, percussion and auscultation
7
Q
Extraoral examination
A
- Face
- Skin
- Skull
- Bony skeleton of face
- TMJ
Lymphatic system
- Salivary glands
- Eyes
- Nose
- Ears
- Lips
8
Q
Inspection of face
A
- Signs of asymmetry
- Swelling
9
Q
Inspection of skin
A
-Colour and texture
10
Q
Inspection of skull
A
- Abnormal size and shape noted
- Signs of trauma
11
Q
Inspection of eyes
A
- Pallor sign of anaemia
- Icterus sign of jaundice
12
Q
Inspection of nose
A
- Signs of nasal septum deviation(fracture)
- Nasal discharge
- Loss of smell
13
Q
Inspection of ears
A
- Signs of bleeding(sign of fracture)
- Pus or discharge
- Complaints of hearing
14
Q
Inspection of lips
A
- Ulcerative and non ulcerative growths
- Herpes infections
