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38 Cards in this Set

  • Front
  • Back
Complications of diabetes in healing
hyperglycemia, ketoacidosis, vascular wall changes results in vascular insufficiency
normal fasting blood glucose level
less than 100mg/dl
pre-diabetes fasting blood glucose level
do not treat the pt if their blood glucose level is above what?
200 mg/dl
three criteria used for diagnosis of diabetes mellitus
1. symptoms of diabetes plus causal plasma glucose concentration > 200 mg/dl
2. FPG > 126 mg/dl
3. 2 hour postload glucose level > 200 mg/dl during an OGTT
symptoms of mild stage insulin shock
hunger, weakness, tachycardia, pallor, sweating, paraesthesias
symptoms of moderate stage of insulin shock
incoherence, uncooperativeness, belligerence, lack of judgment, poor orientation
symptoms of severe stage of insulin shock
unconsciousness, tonic or clonic movements, hypotension, hypothermia, rapid thready pulse
sustained abnormal elevation of arterial pressure usually asymptomatic
control target bp for hypertension
target bp for pts with diabetes or renal disease
etiology for infectious mononucleosis
epstein-barr virus
common types of intestinal disorders
Crohn's disease (inlammatory bowel disease - IBD)
GERD (gastric esophageal reflux disease)
oral manfestations of GERD
severe erosion due to reflux of stomach acid
sensitivity of teeth
burning tongue
is antibiotic prophylaxis before dental tx necessary for pts with artifical heart valves?
yes - bc they are susceptible to bacterial endocarditis
heart murmur is caused by what?
turbulence of blood circulating through the valves and chambers of the heart
organic heart murmurs may be caused by what?
stenotic valve
regurgitation of blood from endocardial fibrosis (floppy incompetent valve)
combination of the two
autoimmune disease
are valves on the L or R side of the heart more commonly affected with murmurs?
allergies to aspirin may produce what symptoms?
urticaria or edema
acute atrophic candidiasis is caused from what?
steroid asthma inhaler
tension headaches produce pain where?
frontal bone, occipital area, muscles of the neck
hypertension can produce what types of headaches and pain?
headaches in occipital area, visual disturbances, muscle aches in lower extremeties
temporal headaches may be related to what?
TMJ problems
noises in the ear such as buzzing, roaring, or ringing is called what?
chronic disease of the inner ear characterized by recurrent episodes of vertigo
Meinere's disease
drug that reduces, slows, or prevents the flow of saliva
frequent colds are characterized to occur how often?
more than 3 or 4 per year
angina pectoris suggests what?
insufficiency of the blood supply to the heart
increase in appetite w/ no wt gain suggests what?
hyperthyroidism or diabetes
decrease in appetite may suggest what?
hepatitis, infectious mononucleosis, anorexia, depression, GI cancer, or AIDS
most common causes of indigestion
peptic ulcer and gall bladder disease
what is considered frequent urination?
> 6x a day
how do you approach tx for a pregnant lady in 1st trimester?
avoid elective tx, ER tx only, may perform prophy w/ visual exam
most critical time for teratogenicity
development of major organs in fetus
which trimester is the most ideal for dentistry?
2nd - fetus is past critical stage and mother is not too large to be uncomfortable in chair
ASA I classification
Normal healthy pt, no dental management alterations, no probs climbing stairs or running at least 2 min
ASA II classification
mild systemic disease that does not interfere w/ day-to-day activity or that has a significant health risk factor i.e. mild hypertension, type 2 diabetes, well controlled epilepsy, etc
ASA III classification
pt w/ moderate to severe systemic disease that is not incapacitating but may alter day-to-day activity i.e. type 1 diabetes, COPD, moderate HT, etc
ASA IV classification
pt w/ severe systemic disease that is constant threat to life. pt will be unable to do light activity for short period of time and may experience discomfort at rest
i.e. severe HT, liver failure, advanced AIDS, etc