Flashcards in IHD Part 2 lectures Deck (19)
Intro to med: What is the relevance of history and examination to dental practice?
First line screening
Dental signs of systemic disease
Impact of disease on dental treatment
Impact of dental treatment / therapy on ill patients
Intro to med: What are the components of a medical history?
Current medical Hx
Past Medical Hx
Intro to med: What are the signs of chest disease?
Intro to med: What are the differential diagnosis for wheezing?
Vocal cord dysfunction
Foreign body aspiration
Congestive heart failure
Forced expiration in normal subjects
Intro to med: What are the differential diagnosis for chest pain?
Pleuritic - sharp stabbing on inspiration
Chest wall - costochondritis
Cardiac - myocardial infarction
Great vessels - dissection
Oesophageal - reflux
Gall bladder -cholecystitis
Intro to med: What are the risk factors for heart disease?
Overweight / obesity
Intro to med: What are the symptoms of type 1 diabetes?
Infections (skin, gums or urinary tract)
Tingling in hands and feet
Swelling of hands and feet
Intro to med: What are the symptoms of type 2 diabetes?
Sudden change in vision Blurred vision
Nausea and vomiting
Intro to med: What common oral health problems can be found in Diabetes?
Salivary gland dysfunction
Inflammatory skin disease (lichen planus)
Infection & delayed healing
Intro to surgery: What is surgery?
“The art of healing by manual operation.
“The branch of medical science that treats disease or injury by operative procedures”.
Intro to surgery: What are the types of surgery?
Elective - not immediate, planned
Emergency (Immediate, Urgent)
Expedited - not immediate but more urgent than elective - fast tracked
Intro to surgery: What are the classifications of surgery?
Major – cancer resection
Intermediate – Hernia Repair
Minor – Excision of Lipoma
Intro to surgery: What does a surgeon do?
Treatment options -Surgical/ Non-surgical
- Immediate post-op care
- Follow-up care
Intro to surgery: What is involved in pre-op care?
- Blood loss prevention/replacement
- Infection issues
- Assess co-morbidities
- Specific heart/lung investigation
Intro to surgery: What is the ASA classification? LEARN
ASA I Healthy patient
ASA II Mild systemic disease with no functional limitation - controlled hypertension (e.g. fit and healthy but smokes/pregnant)
ASA III Severe systemic disease with definite functional limitation - COPD
ASA IV Severe systemic disease that is a constant threat to life - unstable angina (GTN spray does not work)
ASA V Moribund patient who is not expected to survive for 24 hours with or without surgery - ruptured aortic aneurysm
Suffix E Emergency procedure
Intro to surgery: Why is ASA classification used?
Estimate risk of complications
Guide choice of treatment
Intro to surgery: What surgical diseases are of particular interest to dentists?
Other prostheses - joint/ vascular
Rheumatoid arthritis - neck, join prosthesis, steroid
Transplantation - immune suppression, gingivitis, Grant vs Host disease
Intro to surgery: Why do I need to know about surgery?
Dealing with emergencies