Flashcards in Medical History Deck (35)
When does the patient sign the Patient Authorization and Release box on the MH?
At the initial appointment and at the recall appointment
To correct an error: erase and add the correct info
False; only line through initial and date
The conditions found on MH are #'ed. These # conditions match the #'ed conditions in the clinic manual. True or False
True or False
We are able to treat a patient with high blood pressure?
Do we need more info to answer this question?
Is it controlled? If yes, you may treat. If no, you may not.
T or F
Patient with transplanted organs are safe to treat?
Do you need more info to answer this question?
When was it done? Have you taken pre med by physician? Referral by Dr.
(Send referral letter to Physician)
What 5 questions are asked at the recall or reappoint appointment?
The 5 bolded questions.
If a patient presents with a condition not found on the MH is there a place to record this info?
Yes, on "other"
Purposes of MH
1. Info is important for oral conditions
2. Reveal conditions that need precautions
Ex: allergy to antibiotic. Toothaches
3. Identify unrecognized conditions
Ex: measles-coplex. Red spots in mouth
4. Appraise the health of the patient for the prognosis after dental treatment
5. Patients emotional, psychological, attitudes, prejudices.
Ex: scared of dentist, hand holding, explain
6. Document record for references and comparison Ex: weight loss
7. Legal evidence. They must sign!
8. Identify cultural beliefs. Bad teeth bc parents do.
9. Determine ethnic/racial influence on risk factors for oral disease.
At the follow up appointment you check the
Special handling- how do we need to treat the patient/patient positioning.
You need clinic signatures on..?
Adults-2gm/2000mg (4 pills)
Dosage: Allergic to penicillin or ampicillin oral.
Azithromycin or clarithromycin
Blood disorder: Leukemia
Abnormal proliferation of leukocytes,
Consult with MD,
Most common cause of bleeding disorders
Prolonged bleeding time and poor clotting, ______ the coagulation and prothrombin times are normal.
Number of platelets are reduced,
Hemorrhage may occur __________ from any area of the oral mucosa,
May be acute and fatal but also may run a chronic course with intermittent attacks
Warfarin, Coumadin, aspirin, acetaminophen
Blood thinner meds
True or false:
May be more dangerous to decrease blood thinner meds
T or F:
You need a MD referral when using blood thinners
Disease where red blood cells are destroyed,
Mostly in African Americans
Sickle cell anemia
Supplement taken with sickle cell anemia
Folic acid supplement
Afraid of brushing/tissues bleeding
Metabolic disorder caused primarily by a defect in the production of insulin by the islet cells of the pancreas resulting in an inability to use carbs
Type 1 diabetes
Type 2 diabetes
1: insulin inj (shot looks like 1)
2: pill form, obesity
4 parts of medical history
T or F:
You can see a patient with diabetes
Unless controlled. Controlled=gum tissues look normal
For a reappointment you go over what with the patient?
5 bolded questions,
(Do not need to sign authorization)
ASA: Without systemic disease, a normal healthy patient with little or no dental anxiety
ASA Stage 1
ASA: Able to walk one flight of stairs with no distress.
ASA stage 1