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Flashcards in Painful conditions Deck (32)
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1

when can you prescribe mouth rinse in children?

6+ years

2

What is Reye's syndrome?

Increasing levels of NH3 and H+ in blood
brain swell and liver inflames

3

When does Reye's syndrome occur?

Viral illness and treated with aspirin

4

What would you prescribe for Reyes' syndrome?

Paracetamol or ibuprofen

5

What is sepsis?

Spectrum disorder resulting from infection by bacteria, virus, fungi, parasites or toxic products
Immune overreaction - inflammation, blood flow problems, low BP

6

Symptoms of sepsis?

Five/shivering/cold
Rapid breathing
Pain
Pale/mottes skin
Disorientated/confused/sleepy
elevated HR

7

What do you do if a patient shows any symptoms fo sepsis?

999 or A and E

8

Treatment of teething?

Massage
Dry the drool
Teething toys/foods
Topical analgesia, systemic analgesia

9

Complications with teething?

In pain so don't want food/fluids = dehydration
- check when they last drank and if they are still making wet nappies

10

What topical analgesia is used?

Bonjela/calgel - lignocaine

11

What systemic analgesia can eb prescribed?

Paracetamol
ibuprofen - form 6 months and not asthmatic

12

When are natal/neonatal teeth removed?

Excessively mobile - airway risk
Interfering with infant feeding
Inflammation of tongue

13

Natal vs neonatal teeth?

Primary teeth erupting at birth or 30 days after birth
tend to be hypo plastic

14

Management of eruption cysts?

Generally go as the tooth erupts so leave

15

What is gingivitis artefacts/factitious gingivitis?

Loss of attachment of gingiva due to picking with nail or biting pencil etc

16

Management of symptomatic treatment of physical conditions e.g. bitten nail in gingiva?

Remove cause
OHI
Manage ulceration -chlorhex
Prevent secondary infection
Soft diet
Review

17

management of chemical conditions?

Symptomatic treatment
OH
fluids
Bed rest if systemically unwell
CHlorhex

18

Necrotising ulcerative gingivitis manfiestation

Loss of interdental papillae
Grey green slough in place
erythema
smell

19

Cause of necrotising ulcerative gingivitis?

Spirochetes
Exacerbated by malnutrition, stress, smoking

20

Treatment of necrotising ulcerative gingivitis?

Eliminate cause - immunosuppresion , malnutrition, smoking
OH
Debridement
Systemic antimicrobial
Support and maintain

21

What develops of necrotising ulcerative gingivitis is not treated?

Cancrum oris

22

Manifestation of acute peudomembrnaous candidiasis (oral thrush)

White patches can be scraped away

23

Thrhs vs milk tongue

Scrape away - if red underneath = thrush, if healthy = milk

24

Treatment of candida infection?

Understand cause
- remove --> OHI, cleaning, education
Antifungal treatment

25

HSV 1 and 2 orla manifestations

Reddened areas, vesicles, ulcers, scab
Herpetic gingiva stomatitis

26

Manifestation of HSV secondary infection

Cold sores

27

Virus causing hand foot and mouth disease?

Coxsackie

28

Symptoms of hand, foot and mouth disease

Vesicles on hand, foot and mouth
Pain
Ulceration

29

Traetment of hand foot and mouth disease

Symptomatic treatment
fluids, clean, anti fungal

30

Herpangina cause?

Coxsackie in older child patients