Types of Diagnosis - Cardinal Manifestations Flashcards
Diagnosis based on inductive logic; condition where a through examination is NOT needed
Direct Diagnosis
Presumptive diagnosis or clinical impression
Working/Tentative Diagnosis
All diagnosis data that have been collected and subjected to evaluation and analysis
Definitive/Final Diagnosis
Diagnosis that confirms or verifies the final diagnosis
Post-Op/Post-Therapy Diagnosis
Diagnosis based on knowledge and experience of the disease or lesion by the clinician
Spot Diagnosis
Diagnosis by elimination; comparative diagnostic technique
Differential Diagnosis
This requires a collection of all appropriate diagnostic information; for patients who need total dental care
Comprehensive Diagnosis
Patient who already had a prior comprehensive dental diagnosis; the goal is to identify conditions that changed and supplement the prior database so it reflects the patient’s current status
Recall Diagnosis
Diagnosis concerned with a specific problem; Uses SOAP evaluation
Diagnosis of a Specific Problem
To expeditiously manage a chief complaint that require immediate attention
Emergency Diagnosis
Diagnosis that answers specific question to obtain information without accepting comprehensive diagnosis or treatment responsibility of the patient
Screening Diagnosis
Prediction of the possible outcome or course of the disease; usually expressed in terms of time and tissue response
Prognosis
Grades of Prognosis
Good, Fair, Poor
Factors affecting the giving of Prognosis (7)
- Severity of the disease
- Onset of the disease
- Location of lesion
- Age of patient
- Presence of complicating factors
- Status of immune system
- Course of disease
Components of the Comprehensive Dental Diagnosis Database (3)
- Patient history
- Physical/Clinical examination
- Adjunctive diagnostic information
Extraoral examination: Routine Review of Head, Neck, and Maxillofacial Region (8)
- Constitutional: fever, chills, weight loss
- Head: headache, insomnia, fainting
- Ears: decreased hearing, tinnitus
- Eyes: blurring, double vision, excessive tearing
- Nose & Sinuses: rhinorrhea, epistaxis, breathing problem
- TMJ: pain, limited jaw motion
- Oral: dental pain, lip or mucosal sores, bad breath
- Neck: dysphagia, change in voice, stiffness
Pre-op Physical Examination of the Oral and Maxillofacial Surgery Patient (4)
- Inspection
- Palpation
- Percussion
- Auscultation
Intraoral Examination (7)
- Lips
- Labial, Buccal Mucosa, and Vestibule
- Soft and Hard Palate
- Oropharyngeal Area
- Tongue
- Floor of the Mouth
- Teeth
Procedural Steps of Diagnostic Method (5)
- Collection of Diagnostic Information
- Organization / Analysis of the Diagnostic Information
- Formulation of Diagnosis including giving of Prognosis
- Formulation and execution of the Optimal Treatment Plan
- Patient Recall or Follow up
Types of Clinical Examination (4)
- Comprehensive Dental Examination
- Screening Type of Examination
- Emergency Examination
- Periodic Health Maintenance and Recall Type of Examination
Classification of Symptoms (2)
- Subjective
- Objective
Pain
Odontalgia
Foul Breath
Halitosis
Dry Mouth
Xerostomia