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20 Cards in this Set
- Front
- Back
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What is epilepsy? |
bursts of uncontrolled, cerebral, neuronal activity |
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What are causes of epilepsy? |
-trauma -infection -brain tumor |
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What are the clinical features of a grand mal |
-aura -loss of consciousness -fall, muscle rigid, uncontrolled movements -recover -sleep |
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What are features of petit mal? |
-more in children -transient blankness |
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What is Epilpticus? |
series of seizures without regaining awareness in between |
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What do you do if someone has a fit? |
-lay down if possible -remove harmful objects -airway maintained -on recovery accompany by adult |
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What is the dental relevance to epilepsy? |
-ensure had meds -oral trauma -medication- dilantin hyperplasia tegretol- vasoconstrictor use fleypressin??
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What is a migraine? |
brain hyperexcitable to a number of stimuli, nueronal depolarisation more easily triggered |
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What are the cranial nerve disorders? |
-Trigeminal neuralgia -bells palsy |
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Explain Trigeminal neuralgia |
-more in older people -bursts of severe pain -V2 and V3 -unilateral -prolonged anaesthesia after LA |
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Dental relevance for Trigeminal neuralgia |
-diff diagnosis of pain -tegretol- vasoconstrictor use felypressin?? -triggers
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What is Bells palsy? |
-viral -swelling of facial canal= pressure on nerve |
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Dental relevance |
-anaesthetizing facial nerve has similar appearance |
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What are the possibilities of pt complains of T/A and is sensitive to hot and cold? |
-caries -# filling -# cusp -unlined filling -recent filling -T/B abrasion |
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What are possibilites if pt is sensitive to sweet? |
-caries -#filling -T/B abrasion |
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If pt is having pain on eating/TTP, what do you check for? |
-caries -large filling -high filling -pocketing -P/E -history of trauma |
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What are the possibilities if pt has pain on eating and sensitive to hot and cold? |
-#cusp -sinusitis -multirooted tooth |
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What do you use to tie symptoms together? |
-patient description -clinical appearance -pulp tests -x-rays |
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When regarding tmt what should you consider? |
-duration and severity of H/C sensitivity -origin of pain on eating, TTP and duration |
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What are the 9 non dental causes |
-ulcerative conditions- aphthous -sinus disorders- sinusitis -migraine -infections- mumps -TMJ- arthritis -nervous disorders- shingles -vascular disorders- hypertension -others- tremours, cysts |
