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Flashcards in Trauma-History And Exam Deck (12):
0

What three histories must you ask with regards to trauma?

Medical
Dental
Trauma

1

Which medical,factors are particularly important?

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

2

Why are heart problems important to ask about?

Endo procedures may be contra indicated in these patients
Should consult child's paediatrician

3

Why are bleeding disorders important?

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

4

Why are allergies important?

Penicillins?

5

When would tetanus be requires?

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

6

What questions re their dental history would you ask?

Any previous history of trauma
Any past dental experience

7

What trauma history questions would you ask?

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

8

What E/O signs should you look at?

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

9

What i/O exam should you perform?

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

10

What things should be included on the trauma grid?

Mobility
TTP
Colour
Sensitvity to pharm
Radiograph

11

What are the options for radiographic exam?

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