Trauma-History And Exam

Question 0

Which medical,factors are particularly important?

Answer 0

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

Question 1

What three histories must you ask with regards to trauma?

Answer 1

Medical
Dental
Trauma

Question 2

Why are heart problems important to ask about?

Answer 2

Endo procedures may be contra indicated in these patients

Should consult child’s paediatrician

Question 3

Why are bleeding disorders important?

Answer 3

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

Question 4

Why are allergies important?

Answer 4

Penicillins?

Question 5

When would tetanus be requires?

Answer 5

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

Question 6

What questions re their dental history would you ask?

Answer 6

Any previous history of trauma

Any past dental experience

Question 7

What trauma history questions would you ask?

Answer 7

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

Question 8

What E/O signs should you look at?

Answer 8

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

Question 9

What i/O exam should you perform?

Answer 9

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

Question 10

What things should be included on the trauma grid?

Answer 10

Mobility
TTP
Colour
Sensitvity to pharm 
Radiograph

Question 11

What are the options for radiographic exam?

Answer 11

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