Patient Examination Flashcards
what are the sequence of events to happen at a dental app
complaint - why pt there HPS - history of complaint PDH - past dental hist PMH - past med hist clinical exam special investigations diagnosis treatment
what does dentist need to know
that its the right pt why pt attending how long problem where what it is oral hygiene habits appliances
taking history involves
see other lect
whether regular attendance
any previous dental treatment
family history of gum disease
what is there to be wary of when pt in pain
anxious
aggressive
what are some dental pain questions
type pain/discomfort when and where started does pain travel anywhere does anything make it better or worse does stop form ding things awake at night getting better or worse
what are some physical things pt may notice
swelling bleeding bad tatste loose teeth difficulty eating difficulty swallowing general malaise
why is an extra oral exam done
diagnosis
screening
what are some facts about oral cancer
only cancer that is increasing
25% cases have no risk factors
what are the major first actions
explain to pt
get consent
remove prosthetics
in extra oral exam what is looked for
symmetry swelling colour changes ulceration lesions pt temp
how do u palpate extra orally
use pads of fingers and feel for tenderness and swellings
when there is a swelling what si to be considered
hard or soft
fluctuance - fluid inside
how is palpating done order wise
nodes ant cervical post cervical tonsillar sub mandular submental supra clavicular
what is recorded
site size shape colour surface consistency
what is done for intra oral exam
diagnosis
screening
