Shared Flashcard Set

Details

clinic II
more study guide stuff for final (diabetes, thyroid, kidney
100
Dentistry
Undergraduate 3
07/08/2014

Additional Dentistry Flashcards

 


 

Cards

Term
most common form of diabetes is
Definition
type II 90-95% most common
Term
least common form of diabetes
Definition
type I 5-10% least common
Term

this form of diabetes occurs most often in children

 

the immune system lacks insulin producing beta cells

 

high   blood sugar happens hyperglycemia

 

glucose cannot enter cell so it circulates in blood

ketoacidosis, metabolic acidosis

Definition
type I diabetes
Term
causes for type II diabetes
Definition

obesity

family history

gestational diabetes

physical inactivity

ethnicigy

Term
prevalence for ethnic groups for diabetes
Definition
high risk for blacks, hispanics, latino and native indians
Term
what is the 6th most common cause of death
Definition
diabetes!!! 6th most common cause of death
Term
how do triglycerides affect diabetes and cholesterol?
Definition

cholesterol greater than or equal to 35 mg/dl

 

triglycerides greater than 250

Term
glycosuria
Definition
glucose in urine
Term
osmotic diruesis
Definition
lots of urine with sugar in it
Term
hypoglycemia/shock low blood sugar
Definition

cool, moist skin

confused

headache

bp high

 

 

treat with glucose,oj, cake icing

Term
hyperglycemia high blood sugar/coma
Definition

warm, dry skin

abdominal pain

dry mouth

fruity acetone breath

 

 

treat with insulin therapy

Term
fasting plasma glucose test
Definition

8 hours of fasting

given to those with symptoms of hypoglycemia

results that are 126 mg/dl have diabetes

Term
oral glucose tolerance test (OGTT)
Definition

fast 10-16 hrs

glucose is given

 

after 2 hours of consuming glucose test results of 200mg/dl is indicitave of diabetes

Term
complications of diabetes
Definition

infection (slow pmn function)

perio

neuropathy (nerve damage)

nephropathy (kidney damage)

retinopathy (cobwebs in eyes)

cardiovascular diseases (hypertension, coronary artery disease, cva)

Term
pregnancy complications with diabetes
Definition

miscarraige

birth defects

high weight babies

Term
lipodystrophy
Definition

occurance of abcesses in fat tissue that result in pitting.

 

can be avoided by rotating subcutaneous site.

Term
does a pt need more or less insulin if infection is present.
Definition
a pt needs more insulin when infection is present
Term
drugs used for type II diabetes
Definition

metformin (glucophage)

glynuride micronase

rolazamide

tolnutamide

Term
drugs that make tissue more sensitive to insulin
Definition

rosiglitazone

pioglitazone

Term
drugs used for absorption inhibitors
Definition

acarbose

miglitol

Term
what is an example of an opportunistic infection
Definition
candida albicans
Term
when should the diabetic come in for appts
Definition

short morning appts.

 

3-6 month recall

Term
nephrotoxic meds for diabetic
Definition

aspirin

nsaids

acyclovir

Term
what is contraindicated in treating lichen planus in the diabetic pt?
Definition
corticosteroids contraindicated
Term
what do you use to treat hypothyroidism?
Definition
synthroid (levo thyroxine sodium)
Term
treat hyperthyroidism
Definition

tapazol

radioactive iodine

surgery

Term
which condition is known for accelerated tooth eruption in children and osteoporosis of alveolar bone?
Definition
hyperthyroidism
Term
hyperthyroidism/graves disease
Definition

an auto immune disease

skinny

puffy eyelids

fine hair

taccycardia

Term
hypothyroidism
Definition

inadequate thyroid hormone in bood stream

cretinism in kids

myexedema in adults

 

bradycardia

small jaws and malocclusion

fat

hair loss

dry cold skin

Term
what medication is contraindicated with hyperthyroidism
Definition
epinephrine is contraindicated for hyperthyroidism
Term
what is thyroid storm
Definition

sever dramatic event with HYPERTHYROIDISM

high fever

high HR

hard to breath

fear

irritability

exaustion

coma

Term
what is the leading cause of impaired kidney function?
Definition
diabetes is leading cause of impaired kidney function
Term
what does kidney do
Definition

filters fluids, excretes waste, produces urine

 

controls electrolyte balance (sodium bicarbonate, potassium, calcium)

 

produces erythorpoetin which stimulates bone marrow to produce RBC's

 

regulates serum ph

 

produces RENIN that helps regulate blood pressure

Term
what can happen with impaired kidney function?
Definition

anemia-low hemacrit (poor production RBC's)

 

hypertension  (renin regulates BP)

 

bone changes (calcium)

 

increased bleeding, petechia, bruising

 

vascular disease

 

peripheral edema

 

hyperpigmentation

Term
hemodialysis
Definition

3x per week

 

blood is transported out of body via shunt in arm or leg

 

heparin is used to prevent coagulation (clotting)

 

premed happens due to shunt

Term
when is the best time to see dialysis pt
Definition
day before dialysis
Term
oral findings of dialysis pt end stage kidney
Definition

petechia

ammoia in salive, urine smell

stomatitis, erythema, edema candidas

demineralization of bone

Term
contraindications for dialysis pt
Definition

lidocaine/xylocaine

aspirin/nsaids

acetametophin

Term
ASA I
Definition
healthy pt
Term
ASA II
Definition

mild systemic probs

 

uncontrolled asthma

pregnancy

diabetic (controlled)

Term
ASA III
Definition

only treat when dentist present

 

unstable angina

well controlled type I diabetes

MI longer than 6 months ago

heart failure

bp higher than 160/95

Term
ASA IV
Definition

life threatening

 

unable to walk 1 flight of stairs

 

MI in last 6 months

 

unstable angina

uncontrolled diabetes

bp more than 200

Term
ASA V
Definition
dude is gonna die in 24 hours end care of life
Term
symptoms of ALS
Definition

cramps

weak

depressed

respiratory probs

sailorrhea (excessive saliva)

life expectancy of 3-5yrs

Term
ph normal tooth
Definition
7
Term
ph for enamel demineralization
Definition
4.5-5.5
Term
ph for root demineralization
Definition
6.0-6.7
Term
what method of teaching is best
Definition
indirect is best
Term
what is the window of infection from mom to baby>
Definition
6-30 months
Term
what areas of tooth will have most flouride uptake
Definition
demineralized areas
Term
active lesions
Definition

white

chalky

rough 

porous

Term
inactive lesions
Definition

white-black

shiny

smooth

hard

Term
what occurs when globular process fails to fuse with maxillary process>
Definition
cleft lip/palate
Term
what position is used in epileptic emergency
Definition
supine position
Term
what is used to terminate status epillepticus
Definition
diazepam/vallium
Term
in what disorder is hearing loss common?
Definition
cleft palate involves hearing loss
Term
what do you do with a pt with hearing aid
Definition
turn it off when ultrasonic is used
Term
most common form of cerebral palsy
Definition
spastic
Term
doorways must be
Definition
32"
Term
gold compounds and cyclosporine are used to treat
Definition
rheumatoid arthritis
Term
what nerve is affected with bells palsy
Definition
the 7th cranial nerve (facial nerve)
Term
most common type of oral cancer is
Definition
squamous cell
Term
papillary hyperplasia is associated with
Definition
candida albicans associated with papillary hyperplasia
Term
a jaw fracture with clean break (no communication with outside)
Definition
simple
Term
a simpe fracture where it is bent
Definition
greenstick
Term
a shattered simple jaw fracture
Definition
simple comminuted
Term
a jaw fracture that breaks through skin
Definition
compound
Term
what is used to treat simple fracture
Definition
closed reduction
Term
what is used to treat compound fracture
Definition
open reduction
Term
what is most common site of fracture
Definition
alveolar bone
Term
intermaxillary fixation
Definition
wires max and mand together
Term
most common cause for CVA
Definition
thrombosis
Term

autoimmune disease of connective tissue

overproduction of collagen

widened pdls

Definition
scleroderma
Term
3 types of CP
Definition

cerebral palsy

-spastic (most common) stiff muscle

-athetoid-low muscle tone and communication problems

-ataxic-unsteady gait, epilepsy, tremors

Term
treatment for myathenia gravis
Definition

anticholinesterase

immunosuppressives:

corticosteroids, predisone, azathioprine, cyclosporine

Term
old people less sensitive
Definition

pulp shrinks,

less temp response

need more heal time

Term
oral manifestations with dentures
Definition
papillary hyperplasia, angular chelitis
Term
a progressive neuro degenerative disease due to loss of motor neurons.
Definition
lou gehrigs disease/als
Term
what trial med can be given for als
Definition
rilusole (extends life 2 months)
Term

 what disease has deficiency in dopamine

fixed expressions

exxagerate lips, tongue swallowing

excess saliva, tremors

Definition
parkinsons
Term
myathenia gravis
Definition

autoimmune neuromuscular disease acetycholine receptors decrease

 

ptosis-drooping of eye

double vision

weak eye

Term
a crisis of under med of myasthenia gravis
Definition
myashtenic crisis
Term
crisis of over med for myasthenia gravis
Definition

cholinergic

 

S- salivation

L-lacrimation

U-urination

D-defecation

Term
3 types of spina bifida
Definition

occulta- no outpouching, no symptoms, cleft in bony encasement of spinal cord.

 

Meningocele-least common, protrusion of meninges through skull or spinal column.

 

Myelomenigocele- outpouching of spinal cord and coverings.  paralysis of legs and trunk.

Term
hydrocephalus
Definition
fluid in brain
Term
what disabled pt has a common latex allergy
Definition
myelomenigocele spina bifida 68%
Term

myelin sheath is destroyed with this pt that axon is no longer protected.

 

CNS affected

visual impairment, tremors, fatigue, tingling, parasthesia of hands and feet

Definition
Multiple sclerosis
Term
what is used to treat MS
Definition

corticosteroids

interferon beta

 

Term
vasoconstrictor
Definition

epi

 

opens airways constrics blood vessels

Term
what patient gets autonomic disreflexia
Definition
wheelchair bound pt
Term
emergency of wheelchair pt, check catheter and unclamp, bp gets high. postition upright slowly
Definition
autonomic disreflexia
Term
C-1
Definition
death
Term
C-2-3
Definition
fatal
Term
C-4
Definition
respiration difficulty, paralysis of extremities
Term
C-5
Definition
shoulder and elbow use only
Term
C-6
Definition
shoulder, elbow, wrist (can propel wheelchair)
Term
C-7
Definition
shoulder elbow wrist hands
Term
T1-10
Definition
walk with braces
Term
T-11
Definition
wheelchair not essential
Term
when can pregnant women get DH treatment
Definition
2nd trimester.  put on left side to displace uterus
Supporting users have an ad free experience!