L1- Intro and Exam Flashcards

1
Q

definition of oral medicine

A

clinical diagnosis and management diseases speicific to the orofacial tissues

  • oral mucosa
  • jaws
  • salivary glands
  • facial pain
  • TMJ disorders
and 
oral manifestations of systemic diseases 
- gastrointestinal
- renal
- hematologic
- immunologic 
- STD
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2
Q

diseases specific to orofacial tissues

A
  • oral mucosa
  • jaws
  • salivary glands
  • facial pain
  • TMJ disorders
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3
Q

oral manifestations of systemic disease

A
  • gastrointestinal
  • renal
  • hematologic
  • immunologic
  • STD
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4
Q

managment of patients with severe medical problems

A

hospitilize dental patients for pre or postoperative care because of

  • bleeding disorders
  • susceptibility to shock
  • severe cardiovascular disease
  • susceptibility to infection
  • need for heavy sedation or general anesthesia
  • neuromuscular or other physical disbility
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5
Q

hospital oral medicine

A

dental treatment for patients with severe systemic diseases

evaluation of diagnostic problems for patients with problems of the mouth and jaws

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6
Q

oral medicine consultation

- outline used in answering consultation

A
summary of pertinent information
history of oral complaints
examination findings 
impressions/ differential diagnosis 
recommendations
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7
Q

rational procedures for diagnosis and medical risk assessment

A
  1. taking and recording pt’s history
  2. examination of the patient
  3. plan for treatment
  4. medical referral procedure
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8
Q

definition of symptoms and signs

A

symptoms – patients subjective expereinces

signs - clinicians objective observations

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9
Q

importance of taking and recording the patients history

A

gathering is essential for

  • correct diagnosis
  • constructive clinician - patient relationship
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10
Q

likely to adversely affect dental treatment

A
cardiac valvular disease 
bleeding disorders 
epileptic seizures
immunodeficiency 
adrenocortical dysfunction
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11
Q

likely to compromise surgical procedures

A

diabetes mellitus
anemia
leukemia
cancers

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12
Q

likely to render a patient less tolerant to treatment

A

cardiovascular diseases
mental disorders
obstructive pulmonary disease
liver or kidney diseases

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13
Q

likely to cause acute allerfic reactions

A

allergic to medication or local anesthetic injections

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14
Q

likely to be transmitted to other patients or workers

A

tuberculosis
HIV?
hep B and C?

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15
Q

vital signs of patient

A

temperature - 98.6 F

  • pulse for heart rate and rhythm 60-80 bpm
  • rises 5-10 minutes in each degree of fever

blood pressure
140/5 mmhg - systolic elevaition is about equal tho 100 plus the patients age

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16
Q

examination of facial structures

A

pigmentation abnormalities
vascular abnormalities
asymmetry
ulcers, nodues, scars

17
Q

lips examine

A

angular or vertical fissures
pigmentation abnormalities
white an red lesions
ulcerative, vesicular, and bullous lesions

18
Q

cheeks examine

A
pigmentation abnormalities 
movability of the mucosa
white and red lesions 
ulcerative, vesicular, and bullous lesions
fordyce granules
openings of stensons ducts
19
Q

mucobuccal exam

A

white and red lesions

ulcerative, vesiuclar, and bullous lesions

20
Q

palate exm

A
white and red lesions
pigmentation abnormalities 
ulcerative, vesicular, and bullous lesions 
minor salivary gland abnormalities 
tori
21
Q

tongue exam

A

white and red lesions
filliform and fungiform papillae abnormalities
ulcerative vesicular and bullous lesions
vascular lesions
frenal attachment

22
Q

floor of mouth exam

A

white and red lesions
ulcers
openings of whartons ducts
minor salivary gland abnormalities

23
Q

tonsils and pharynx look at

A

white and red lesions

24
Q

salivary gland exam

A

parotid glands

submandibular and sublingual glands

25
Q

neck and lymph nodes exam

A
posterior auricular  
preauricular 
tonsillar
submaxillary 
submental
26
Q

establish the diagnosis by

A

diagnosis
differential diagnosis
lab test and tissue biopsy

27
Q

plan for tx

A

informed consent

and follow medical refferal procedure

28
Q

most common site for oral cancer

A

lower lip

- extremely important to look at lower lip / pigmentatino and ulcerationse

29
Q

palate is common site for

A

minor salivary gland tumor