Trauma-History And Exam Flashcards

0
Q

Which medical,factors are particularly important?

A
  1. Congenital heart disease/RF/immunosuppression
  2. Bleeding disorders
  3. Allergies
  4. Tetanus
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1
Q

What three histories must you ask with regards to trauma?

A

Medical
Dental
Trauma

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2
Q

Why are heart problems important to ask about?

A

Endo procedures may be contra indicated in these patients

Should consult child’s paediatrician

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3
Q

Why are bleeding disorders important?

A

If tissues are damaged how you handle it and also if teeth are to be extracted

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4
Q

Why are allergies important?

A

Penicillins?

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5
Q

When would tetanus be requires?

A

If there has been soil contamination and the child has not had their booster in last 5 yrs

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6
Q

What questions re their dental history would you ask?

A

Any previous history of trauma

Any past dental experience

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7
Q

What trauma history questions would you ask?

A
When : delay in presentation NAI, prognosis for avulsed teeth
Where: indicate need for tetanus
How: NAI
Any lost fragments?
LOC/vomiting/nausea 
Immediate management?
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8
Q

What E/O signs should you look at?

A
  1. Symptoms of head injury
  2. Signs of shock
  3. Facial swelling, bruises, laceration
  4. Fragments stuck in lip
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9
Q

What i/O exam should you perform?

A
  1. Soft tissues
  2. Occlusion
  3. Tooth displacement
  4. Cracked teeth
  5. Trauma grid
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10
Q

What things should be included on the trauma grid?

A
Mobility
TTP
Colour
Sensitvity to pharm 
Radiograph
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11
Q

What are the options for radiographic exam?

A
  1. Periapical is best for diagnosis
  2. Occlusal: good for root fracture and foreign body In soft tissues
  3. DPT: lateral oblique, lateral skull, AP skull, OM: these are good if bone thought to be involved
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