to know Flashcards
incidence of viral infections with HIV serotype positive patients?
YES– lik EBV which can cause oral hairy leuoplakia in up to 38% of HIV + patients
EBV can cause?
oral hairy leukoplakia
does NOT rub off like oral thrush would
HIV malignicies to keep in mind
squamous cell carcinoma
squamous cell carcinoma associated with?
HPV infection
major AIDS defining condition that may be present in the oropharynx?
histoplasmosis
- disseminated or extrapulmonary
fungal lung infection
describe OA
chronic joint failure
- degradation of cartilage and bone with minimal inflammation, resulting in pain and immobility
who gets OA? risk factors?
80%of people over 50 show radiographic signs and 80% of people over 75 have synptomatic
- age
- genetics
- excess weight
- Trauma
- inflammation
- joint instability - malalignment
% of OA that is hereditary
65% of primary is inherited
signs of OA
bony enlargments
- nodes
- with or without inflammatory joint effusions
- crepitus with range of motion
- restricted range of motion
joint deformaties in RA
ulnar drift of metacarpopha;angeals
subluxation of wrists
swan-neck
main description of SLE
MULTI-SYSTEM AUTOIMMUNE DISEASE
what should be held morning of a procedure with a bleeding condition?
aspirin
Sjorgens syndrome can be secondary to what? NOT secondary to what?
NOT
- Osteoarthritis
Can be from
- Rheumatoid Arthritis
- Systemic Lupus
- Scleroderma
post-procedure hyperglycemia best treated by?
subcutaneous insulin
HB1Ac level above what you should defer elective treatment?
if above 9
diagnosis of diabetes can be made from?
Fasting plasma glucose above 126 mg/dl
hemoglobin Aic above 6.5%
plasma glucose above 200 after a 75 carbohydrate intake
symptoms and random glucose above 200
major adverse side effect of not controlling glucose levels in the blood
retinopathy
ALSO
- neuropathy
- nephropathy
which psychiatric disorder has the highest prevelance rate?
alcoholism
then major depressive
what do you not include in treatment for asthmatic patients
adrenergic blockers
system used for diagnosing psychiatric disorders
multi-axial diagnosis
basic psychiatric presentation in dental practice
burning mouth syndrome
pain
- pt presents with features which may be due to underlying emotional disturbance
major premise behind dental anxiety
it is the persons PERCEPTION of situation rather than the pain itself that is crucial for the development of dental anxiety
most lethal psychiatric disorder
eating disorder
T/F oral cancer is associated with increased risk of suicide
TRUE
second leading cause of disability worldwide?
major depressive disorder
mnemonic for diagnosing depression
SIG E CAPS
- sleep disturbance
- interests declined
- guilt
- energy decreased
- cconcentration decreased
- appetite disturbance
- psychomotor - agitation or retardation
- suicidal thoughts
how to diagnose depression - timeline
4 or more symptoms with depressed mood or anhedonia (inability to feel pleasure) for more than two weeks
mnemonic for diagnosing bipolar
DIG FAST
diagnosis of schizophrenia
2 or more of the following for most of 1 month
social / occupational dysfunction
duration of at least 6 months
diagnosing generalized anxiety disorder
persistent feelings of anxiety, most of the day, most days for over 6 months
*diagnosing substance abuse disorders
- Mild –> two or three symptoms
- moderate –> three or four symptoms
- severe –> five or six sympoms
how to screen for alcohol use
CAGE questions
C– tried CUTTING down?
A – gotten ANGRY when someone asks about drinking?
G – GUILTY feeling at all?
E –> needed an EYE OPENER?
if 3 yes – all are abusers or dependent
Cluster A is
paranoid schizoid and schizotypal
cluster B
antiscoial, narcissistic
cluster C
avoidant , dependent, Obsessive compulsive
major dental manifestations of drinking
- bruxism
- gingivitis
- abscesses
major findings with marijuana use? meth? cocaine?
marijuana - gum disease
meth - decay
cocaine - dental erosion, dry mouth
