Lecture One Flashcards
(26 cards)
What are the four parts of Medical History?
- Personal Information
- Dental History
- Medical History
- Authorization/Release Consent
What is the significance of the Medical History?
- Oral Conditions reflect Health of Patient
- Health factors influence healing
- Patients Health constantly change
What are the 9 purposes of MH?
- Information
- Revealing Conditions
- Identifying Conditions
- Appraising Health
- Psychological State
- Record for reference/comparison
- Legal evidence
- Cultural Beliefs
- Ethnic/Racial factors for disease
What disease is associated with African Americans?
Sickle Cell anemia
What disease is associated with Native Americans?
Diabetes
What is the purpose of Drug References?
Medications tell us about the patient.
When are drug references made?
At the initial appointment and recall appointments.
What portions of the MH does the patient sign?
Authorization
Treatment record
What portion of the MH does the student sign?
Medications Page
Authorization
What diseases will Contraindicate treatment?
Active TB, VD, Hepatitis Hemophilia Herpes (weeping) Uncontrolled HBP, Diabetes, Epilepsy Stroke or Heart Attack (6 months) Acute Leukemia Pregnancy (cannot treat during 1st trimester) Extractions (3 weeks post)
What are some common issues that require a medical referral?
Artificial prosthetics/ cardiac valves Bacterial endocarditis Congential cardiac formations Appetitie Suppresent Drugs (Phen-fen) Transplant patients Inactive TB Autoimmune diseases
What is the proper dosage of amoxicillin for adults?
2gm
What is the proper dosage for cephalexin?
2g
What is the proper dosage for Clindamycin?
600mg
What is the proper dosage for Azithromycin or Clarithromycin?
500mg
Why would a patient be prescribed cephalexin, clindamycin, azithromycin, or clarithromycin?
The patient may be allergic to penicillin or oral ampicillin.
Why might a patient be prescribed Amoxicillin?
They can take medications orally.
Why is it important to recognize bleeding disorders?
Control bleeding while scaling.
What disease is associated with abnormal bleeding due to too many white blood cells?
Leukemia
What is the most common bleeding disorder?
Thrombocytopenia
What occurs in the body of a person with Thrombocytopenia?
Platelets are reduced causing extended bleeding time, poor clotting, and hemorrhaging. This disease can be acute and fatal.
What are some common blood thinners used by patients that would require a medical referral?
Cumodin, Asprin, acetometophen
What happens in the body if the patient has sickle cell anemia?
Red Blood Cell destruction; red blood cells carry oxygen
Patients that have Sickle Cell anemia typically take what type of supplement?
Folic Acid