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41 Cards in this Set

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What is diascopy?
hold plate glass to lesion to determine if it blanches. This will assist determining if the lesion is vascularized
When should a patient have a complete head and neck examination?
Initial visit and every recall visit (6 months). If the patient is at high risk for something like oral cancer, then the complete exam should be done at every visit.
What is pallor?
When should you make a progress note in the charts?
Each time a patient is seen or a conversation the the patient or health provider
What are different examination techniques?
1. Visual Inspection
2. Diascopy
3. Palpation
4. Probing
5. Percussion
6. Auscultation
7. Aspiration
8. Evaluation of Function
What should you look for during your visual inspection?
1. Symmetry
2. Color
3. Consistency
4. Size, shape, swelling, deformity
5. Opening
6. Lesions
7. Superficial vascularity
8. Edema
9. Moistness of skin
10. Characteristics of hair/nails
11. Make sure you inspect whole neck (fold down the collar)
What are you feeling for when palpating a structure like lymph nodes?
1. Texture
2. Dimension
3. Consistency
4. Temperature
5. Function
What is rebound, when palpating for tenderness?
When you press on the area, it doesn't cause the patient any pain; when you remove the pressure they feel pain due to the tissue rebounding and impinging on nerves.
Why should you always aspirate before you inject local anesthetic?
To assure that you are not injecting into a blood vessel.
What are Rhonchi when auscultating for breathing sounds?
Deeper rumbling sounds
What are Rales when auscultating for breathing sounds?
Gargly sounds; crackles on inspiration.
What are wheezes when auscultating for breathing sounds?
Squeeky whistles, usually on inspiration. Asthma
Aspiration may include olfaction to detect odors that indicate metabolic/endocrine disease.
What are vital signs?
1. Temperature
2. Respiration
3. Blood Pressure
4. Pulse
What are the baseline indicators of health status?
1. Respiration
2. Blood Pressure
3. Pulse
What is normal temperature range in healthy individuals?
98.6-99.4 F
What are some conditions that could increase body temperature?
1. Exercise
2. Infection
3. Ovulation
4. Inflammatory disorders
5. Hyperthyroidism (due to metabolism increase)
What are some conditions that could decrease body temperature?
1. Anemia
2. Alcoholism
3. Chronic debilitating disease
4. Hypothyroidism
What are the normal respiratory rates?****
16-20/min Adults
24-28/min children
44/min infants
What is the term for increased rate and decreased depth of breathing?
What is the term for increased rate and depth (hyperventilation)?
What is the term for hyperpnea with periods of apnea, typical of profound toxic states?
What are the normal pulse rates?***
60-90 bpm adults
90-120 bpm children
in patients over 50 which BP number is most important to be aware of?
Systolic BP
When you determine BP categorization, which component is used to determine the classification (sys/dias)?
By the most elevated value
What is the range for Stage 1 Hypertension?
see above
What is the range for stage 2 hypertension?
See Above
What category is an individual who has 129/90 BP?
Stage 1 hypertension
Classified based upon diastolic BP
What category does a patient fall into with a blood pressure of 138/88?
What category does a patient fall into who has a blood pressure of 140/100
Stage 2 Hypertension
Up to what blood pressure range is routine dental care okay?
179/109 with NO MRF
(although 140/90 you should consider use of sedatives for complex dental procedures and refer for medical consultation)
What is the blood pressure range and MRF for Urgent dental treatment only?
160-179/100-109 With MRF
You may not treat any dental conditions without medical consultation with a BP of 180/110 and NO MRF
May a patient with a BP of 160/110 be treated?
Not without a medical consultation if there are NO MRF, also refer for PROMPT medical treatment.
If patient has MRF then NO dental treatment and refer EMT.
What is BP range for NO dental treatment and refer for EMT regardless of MRF?
≥ 210/120
If someone has a BP of 143/99 and has MRF how should the patient be handled?
Routine care okay
Sedatives for big procedures
Refer for medical consult
What is the highest BP a patient may have for routine treatment?
179/109 with no MRF
note: at this high sedatives for complex procedures and refer for medical consult
What is the highest BP a patient can have in order to be treated WITHOUT a medical consult?
179/109 with MRF
note: this high is only for urgent dental treatment
How high can a patients BP be before referring for medical consult or altering treatment?
139/89 and it doesn't matter whether or not they have MRF
What is the difference between someone who has MRF or not with a BP of 180/110?
No MRF = no treatment w/o med consult & refer for Prompt med consult

Yes MRF = No treatment and refer to EMT
How should we treat a patient who has a BP of 160/100 with no MRF?
Routine care okay
sedatives for complex procedures
refer for medical consult