the relevant medical history

Question 1

how should the dentist act when taking the medical history?

Answer 1

• get on level with patent
• open questions to start
• move on to closed questions
• no judgement

Question 2

when should a medical history be taken?

Answer 2

• every new patient
• when existing history is inadequate/illegible etc.
• patient who hasn’t attended in over a year
• if more than two years since a full history was taken

Question 3

when should there be a updated history be taken?

Answer 3

• patient is attending for routine care following initial consultation
• update drug regimes
• patient has changed medication/has had medical intervention since the last full visit the FULL history taken

Question 4

what is included in a full medical history?

Answer 4

• Current medical problems
• Past medical history
• Specific disease questions
• Systematic enquiry (if appropriate)
• Relevant family and social history

Question 5

what is included within active problems?

Answer 5

• any present problems with your health?
• attending you own doctor or and hospital or clinic?
• any serious illnesses/operations/admitted to hospital?
• have you had general anasthetic?
• allergies? (drugs/latex in particular)

Question 6

what factors contribute to deciding if it is the right time for dental intervention?

Answer 6

• medical disease
• social context
• transport
• dental
• environmental

Question 7

what is the order of correct professionals for treating complex to most complex procedures?

Answer 7

dental officer
specialist/senior dental officer]
cosultant

Question 8

what is ABCD examination?

Answer 8

• taken while patient walks into the practice/surgery room
  A activity/appearances
  B breathing
  C colour
  D disability

Question 9

what are the categories which must be covered when taking a medical history?

Answer 9

Allergies
Bleeding disorders
Cardiorespiratory disorders
Drug treatment
Endocrine disorders
Fits or faints
Gastrointestinal disorders
Hospital admissions and attendances
Infections
Jaundice and liver disease
Kidney and genitourinary disorders
Likelihood of pregnancy
Mental state
Neurological problems

Question 10

what does JAMTHREADS stand for?

Answer 10

• jaundice
• anaemia/blood conditions
• myocardial infection
• tuberculosis
• hypertension/ heart disease
• rheumatic fever
• epilepsy
• asthma
• diabetes
• stroke