specific med hx findings + outlined note

Question 1

do not provide what to a pregnant woman?

Answer 1

NSAIDS

**judicious use of acetaminophen and narcotics is typically safe

Question 2

for renal dialysis patients - what should you ask and time of tx?

Answer 2

what is their dialysis schedule in order to schedule appt. for the day AFTER dialysis.

Question 3

patients undergoing chemo?

Answer 3

what are the meds being used?
what is tx schedule so that visits can be planned at times the bone marrow supression is minimal - lab results likely required before treatment.

Question 4

patients on coumadin?

Answer 4

A current INR within 1-2 days of surgery is required

**current INR value no higher than 3.5

Question 5

example of flow of note if new patient / never been to clinic before

Answer 5

Chief complaint

HPI-

PMH
Meds
PSH

Soc. hx -

allergy

vitals

EOE
TM
MIO (minimal opening)

IOE

Pano

Periapical

Assessment

PLan

Question 6

every case must have what code if extraction

Answer 6

ICD10
K02.9 (caries)

Plan for D7210 (surgical ext #1)

or D7104 - which is simple extraction

• every procedure must have a procedure code noted)

Question 7

EBL stands for

Answer 7

estimated blood loss