Term
most common form of diabetes is |
|
Definition
type II 90-95% most common |
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Term
least common form of diabetes |
|
Definition
type I 5-10% least common |
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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 |
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Definition
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Term
causes for type II diabetes |
|
Definition
obesity
family history
gestational diabetes
physical inactivity
ethnicigy |
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Term
prevalence for ethnic groups for diabetes |
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Definition
high risk for blacks, hispanics, latino and native indians |
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Term
what is the 6th most common cause of death |
|
Definition
diabetes!!! 6th most common cause of death |
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Term
how do triglycerides affect diabetes and cholesterol? |
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Definition
cholesterol greater than or equal to 35 mg/dl
triglycerides greater than 250 |
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Term
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Definition
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Term
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Definition
lots of urine with sugar in it |
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Term
hypoglycemia/shock low blood sugar |
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Definition
cool, moist skin
confused
headache
bp high
treat with glucose,oj, cake icing |
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Term
hyperglycemia high blood sugar/coma |
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Definition
warm, dry skin
abdominal pain
dry mouth
fruity acetone breath
treat with insulin therapy |
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Term
fasting plasma glucose test |
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Definition
8 hours of fasting
given to those with symptoms of hypoglycemia
results that are 126 mg/dl have diabetes |
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|
Term
oral glucose tolerance test (OGTT) |
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Definition
fast 10-16 hrs
glucose is given
after 2 hours of consuming glucose test results of 200mg/dl is indicitave of diabetes |
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|
Term
complications of diabetes |
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Definition
infection (slow pmn function)
perio
neuropathy (nerve damage)
nephropathy (kidney damage)
retinopathy (cobwebs in eyes)
cardiovascular diseases (hypertension, coronary artery disease, cva) |
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|
Term
pregnancy complications with diabetes |
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Definition
miscarraige
birth defects
high weight babies |
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Term
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Definition
occurance of abcesses in fat tissue that result in pitting.
can be avoided by rotating subcutaneous site. |
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Term
does a pt need more or less insulin if infection is present. |
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Definition
a pt needs more insulin when infection is present |
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Term
drugs used for type II diabetes |
|
Definition
metformin (glucophage)
glynuride micronase
rolazamide
tolnutamide |
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Term
drugs that make tissue more sensitive to insulin |
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Definition
rosiglitazone
pioglitazone |
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|
Term
drugs used for absorption inhibitors |
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Definition
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|
Term
what is an example of an opportunistic infection |
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Definition
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|
Term
when should the diabetic come in for appts |
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Definition
short morning appts.
3-6 month recall |
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|
Term
nephrotoxic meds for diabetic |
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Definition
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|
Term
what is contraindicated in treating lichen planus in the diabetic pt? |
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Definition
corticosteroids contraindicated |
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Term
what do you use to treat hypothyroidism? |
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Definition
synthroid (levo thyroxine sodium) |
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Term
|
Definition
tapazol
radioactive iodine
surgery |
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Term
which condition is known for accelerated tooth eruption in children and osteoporosis of alveolar bone? |
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Definition
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|
Term
hyperthyroidism/graves disease |
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Definition
an auto immune disease
skinny
puffy eyelids
fine hair
taccycardia |
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Term
|
Definition
inadequate thyroid hormone in bood stream
cretinism in kids
myexedema in adults
bradycardia
small jaws and malocclusion
fat
hair loss
dry cold skin |
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Term
what medication is contraindicated with hyperthyroidism |
|
Definition
epinephrine is contraindicated for hyperthyroidism |
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|
Term
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Definition
sever dramatic event with HYPERTHYROIDISM
high fever
high HR
hard to breath
fear
irritability
exaustion
coma |
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|
Term
what is the leading cause of impaired kidney function? |
|
Definition
diabetes is leading cause of impaired kidney function |
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|
Term
|
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 |
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|
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 |
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|
Term
|
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 |
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Term
when is the best time to see dialysis pt |
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Definition
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|
Term
oral findings of dialysis pt end stage kidney |
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Definition
petechia
ammoia in salive, urine smell
stomatitis, erythema, edema candidas
demineralization of bone |
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|
Term
contraindications for dialysis pt |
|
Definition
lidocaine/xylocaine
aspirin/nsaids
acetametophin |
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|
Term
|
Definition
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Term
|
Definition
mild systemic probs
uncontrolled asthma
pregnancy
diabetic (controlled) |
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|
Term
|
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 |
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|
Term
|
Definition
life threatening
unable to walk 1 flight of stairs
MI in last 6 months
unstable angina
uncontrolled diabetes
bp more than 200 |
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Term
|
Definition
dude is gonna die in 24 hours end care of life |
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Term
|
Definition
cramps
weak
depressed
respiratory probs
sailorrhea (excessive saliva)
life expectancy of 3-5yrs |
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|
Term
|
Definition
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|
Term
ph for enamel demineralization |
|
Definition
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|
Term
ph for root demineralization |
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Definition
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Term
what method of teaching is best |
|
Definition
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Term
what is the window of infection from mom to baby> |
|
Definition
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|
Term
what areas of tooth will have most flouride uptake |
|
Definition
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|
Term
|
Definition
white
chalky
rough
porous |
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Term
|
Definition
white-black
shiny
smooth
hard |
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Term
what occurs when globular process fails to fuse with maxillary process> |
|
Definition
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|
Term
what position is used in epileptic emergency |
|
Definition
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|
Term
what is used to terminate status epillepticus |
|
Definition
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|
Term
in what disorder is hearing loss common? |
|
Definition
cleft palate involves hearing loss |
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Term
what do you do with a pt with hearing aid |
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Definition
turn it off when ultrasonic is used |
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Term
most common form of cerebral palsy |
|
Definition
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|
Term
|
Definition
|
|
Term
gold compounds and cyclosporine are used to treat |
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Definition
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|
Term
what nerve is affected with bells palsy |
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Definition
the 7th cranial nerve (facial nerve) |
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Term
most common type of oral cancer is |
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Definition
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|
Term
papillary hyperplasia is associated with |
|
Definition
candida albicans associated with papillary hyperplasia |
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Term
a jaw fracture with clean break (no communication with outside) |
|
Definition
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|
Term
a simpe fracture where it is bent |
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Definition
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|
Term
a shattered simple jaw fracture |
|
Definition
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|
Term
a jaw fracture that breaks through skin |
|
Definition
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|
Term
what is used to treat simple fracture |
|
Definition
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|
Term
what is used to treat compound fracture |
|
Definition
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|
Term
what is most common site of fracture |
|
Definition
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|
Term
|
Definition
wires max and mand together |
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Term
most common cause for CVA |
|
Definition
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|
Term
autoimmune disease of connective tissue
overproduction of collagen
widened pdls |
|
Definition
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Term
|
Definition
cerebral palsy
-spastic (most common) stiff muscle
-athetoid-low muscle tone and communication problems
-ataxic-unsteady gait, epilepsy, tremors |
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Term
treatment for myathenia gravis |
|
Definition
anticholinesterase
immunosuppressives:
corticosteroids, predisone, azathioprine, cyclosporine |
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|
Term
old people less sensitive |
|
Definition
pulp shrinks,
less temp response
need more heal time |
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|
Term
oral manifestations with dentures |
|
Definition
papillary hyperplasia, angular chelitis |
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Term
a progressive neuro degenerative disease due to loss of motor neurons. |
|
Definition
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|
Term
what trial med can be given for als |
|
Definition
rilusole (extends life 2 months) |
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Term
what disease has deficiency in dopamine
fixed expressions
exxagerate lips, tongue swallowing
excess saliva, tremors |
|
Definition
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|
Term
|
Definition
autoimmune neuromuscular disease acetycholine receptors decrease
ptosis-drooping of eye
double vision
weak eye |
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|
Term
a crisis of under med of myasthenia gravis |
|
Definition
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|
Term
crisis of over med for myasthenia gravis |
|
Definition
cholinergic
S- salivation
L-lacrimation
U-urination
D-defecation |
|
|
Term
|
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. |
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Term
|
Definition
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|
Term
what disabled pt has a common latex allergy |
|
Definition
myelomenigocele spina bifida 68% |
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|
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 |
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Definition
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Term
|
Definition
corticosteroids
interferon beta
|
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Term
|
Definition
epi
opens airways constrics blood vessels |
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|
Term
what patient gets autonomic disreflexia |
|
Definition
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|
Term
emergency of wheelchair pt, check catheter and unclamp, bp gets high. postition upright slowly |
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Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
respiration difficulty, paralysis of extremities |
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|
Term
|
Definition
shoulder and elbow use only |
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Term
|
Definition
shoulder, elbow, wrist (can propel wheelchair) |
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|
Term
|
Definition
shoulder elbow wrist hands |
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Term
|
Definition
|
|
Term
|
Definition
|
|
Term
when can pregnant women get DH treatment |
|
Definition
2nd trimester. put on left side to displace uterus |
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