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Flashcards in Medical History Deck (35)
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1

When does the patient sign the Patient Authorization and Release box on the MH?

At the initial appointment and at the recall appointment

2

To correct an error: erase and add the correct info

False; only line through initial and date

3

The conditions found on MH are #'ed. These # conditions match the #'ed conditions in the clinic manual. True or False

True

4

True or False
We are able to treat a patient with high blood pressure?

Do we need more info to answer this question?

False.

Yes.

Is it controlled? If yes, you may treat. If no, you may not.

5

T or F
Patient with transplanted organs are safe to treat?

Do you need more info to answer this question?

False.

Yes.
When was it done? Have you taken pre med by physician? Referral by Dr.

(Send referral letter to Physician)

6

What 5 questions are asked at the recall or reappoint appointment?

The 5 bolded questions.

(Pg 247)

7

If a patient presents with a condition not found on the MH is there a place to record this info?

Yes, on "other"

8

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.

9

At the follow up appointment you check the

Allergies,
Med alert,
Premed,
Special handling- how do we need to treat the patient/patient positioning.

10

You need clinic signatures on..?

Medical history,
CPE,
Treatment record,
Referrals,
Medication page

11

Dosages:
Oral Amoxicillin

Adults-2gm/2000mg (4 pills)
Children-50mg/kg

12

Dosage: Allergic to penicillin or ampicillin oral.

Cephalexin

Clindamycin

Azithromycin or clarithromycin

Adults- 2g
Children- 50m/kg

Adults- 600mg
Children- 20mg/kg

Adults- 500mg
Children-15mg/kg

13

Blood disorder: Leukemia

Abnormal proliferation of leukocytes,
Consult with MD,
Abnormal bleeding

14

Most common cause of bleeding disorders

Thrombocytopenia

15

Prolonged bleeding time and poor clotting, ______ the coagulation and prothrombin times are normal.

But

Thrombocytopenia

16

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

Thrombocytopenia

Spontaneously

17

Warfarin, Coumadin, aspirin, acetaminophen

Blood thinner meds

18

True or false:
May be more dangerous to decrease blood thinner meds

True

19

T or F:

You need a MD referral when using blood thinners

True

20

Disease where red blood cells are destroyed,
Mostly in African Americans

Sickle cell anemia

21

Supplement taken with sickle cell anemia

Folic acid supplement

22

Hemophilia

Afraid of brushing/tissues bleeding

23

Diabetes

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

24

Type 1 diabetes

Type 2 diabetes

1: insulin inj (shot looks like 1)

2: pill form, obesity

25

4 parts of medical history

Personal info
Dental history
Medical history
Authorization

26

T or F:
You can see a patient with diabetes

False.

Unless controlled. Controlled=gum tissues look normal

27

For a reappointment you go over what with the patient?

5 bolded questions,
Yes answers.

(Do not need to sign authorization)

28

ASA: Without systemic disease, a normal healthy patient with little or no dental anxiety

ASA Stage 1

29

ASA: Able to walk one flight of stairs with no distress.

ASA stage 1

Prehypertension

30

ASA- mild systemic disease or extreme dental anxiety

ASA Stage 2