This document provides information about community dentistry, patient examinations, and tooth numbering systems. It discusses [1] personal barrier techniques used for infection control like hand washing and protective gear; [2] the importance of a thorough case history to determine diagnosis, medical issues, and an effective treatment plan; and [3] the components of a clinical case sheet including patient information, chief complaint, medical history, and examination findings. It also describes the [3] major tooth numbering systems: the Universal/ADA system, FDI system, and Palmer notation system.
Case history is the most important part when we enter clinics , it has a greater impact on the diagnosis and treatment planning . It also helps to maintain a good rapport with the patient . It is most important with concern to medicolegal point of view . Thus, a Dr should always have a detailed case history.
Tympanic Membraneby Lisa MikeFILET IME SUBMIT T ED 1.docxmarilucorr
Tympanic Membrane
by Lisa Mike
FILE
T IME SUBMIT T ED 17 - DEC- 2016 12:02PM
SUBMISSION ID 7 54 4 537 7 9
WORD COUNT 14 00
CHARACT ER COUNT 7 57 8
ORDER_4 4 897 _109194 .DOC (39.5K)
%35
SIMILARIT Y INDEX
%7
INT ERNET SOURCES
%4
PUBLICAT IONS
%34
ST UDENT PAPERS
1 %30
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3 %1
4 %1
5 %1
EXCLUDE QUOT ES OFF
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Tympanic Membrane
ORIGINALITY REPORT
PRIMARY SOURCES
Submitted to EDMC
St udent Paper
Submitted to AUT University
St udent Paper
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Tympanic Membraneby Lisa MikeTympanic MembraneORIGINALITY REPORTPRIMARY SOURCES
1
Running head: WEEK TWO ASSIGNMENT TWO
8
WEEK TWO ASSIGNMENT TWO
Week Two Assignment Two: Tympanic Membrane and Thyroid Gland
Sample Student Paper
South University
NSG 3012
Week Two Assignment Two: Tympanic Membrane and Thyroid Gland
Conducting a thorough examination of the tympanic membrane and thyroid gland can identify the cause of presenting symptoms. When a patient reports ear pain, blockage, loss of hearing, and/or ear ringing the nurse will need to perform a thorough assessment to identify the cause. Tympanic ear perforation is one issue that may be identified. Additionally, when a patient reports recent weight loss, weight gain, hair loss, fatigue, irritability, and sensitivity to heat or cold, the nurse may suspect thyroid problems and will examine the thyroid. Dysfunction of the thyroid can lead to many problems, hypothyroidism is one such issue, caused by the thyroid not producing the thyroid hormone (Jarvis, 2016). An overview of the tympanic membrane and thyroid gland will be discussed to further detail the associated assessments.
Health History One
A 19-year-old Hispanic male presents to the primary care office with a constant earache lasting three days. He describes the dulling pain as deep in his left ear. He rates the pain as a 10 out of 10. He has a temperature of 101.1. It is suspected the patient may have an ear infection. The patient reports a history of ear infections. Patient denies hearing loss, discharge, ringing or buzzing, and/or ear injury.
Findings for Tympanic Membrane
Examination of the ear are mainly performed using inspection and palpation (Jarvis, 2016). The client was seated on the exam table, with the examiner’s head at the same level as the client’s. The examiner begins by inspecting both auricles for abnormalities. No abnormalities were noted, but the left ear is red in color. The auricles and mastoid areas were palpated to check for swelling, tenderness, or nodules. The left ear was tender to touch. When using an otoscope, the provider is examining the external auditory canal and tympanic membrane. When inspecting the pinna, it is important to look for lesions (Kalyanakrishnan, Sparks, & Berryhill, 2007). Inspecting the canal, the examiner is looking f ...
Case history is the most important part when we enter clinics , it has a greater impact on the diagnosis and treatment planning . It also helps to maintain a good rapport with the patient . It is most important with concern to medicolegal point of view . Thus, a Dr should always have a detailed case history.
Tympanic Membraneby Lisa MikeFILET IME SUBMIT T ED 1.docxmarilucorr
Tympanic Membrane
by Lisa Mike
FILE
T IME SUBMIT T ED 17 - DEC- 2016 12:02PM
SUBMISSION ID 7 54 4 537 7 9
WORD COUNT 14 00
CHARACT ER COUNT 7 57 8
ORDER_4 4 897 _109194 .DOC (39.5K)
%35
SIMILARIT Y INDEX
%7
INT ERNET SOURCES
%4
PUBLICAT IONS
%34
ST UDENT PAPERS
1 %30
2 %2
3 %1
4 %1
5 %1
EXCLUDE QUOT ES OFF
EXCLUDE
BIBLIOGRAPHY
OFF
EXCLUDE MAT CHES OFF
Tympanic Membrane
ORIGINALITY REPORT
PRIMARY SOURCES
Submitted to EDMC
St udent Paper
Submitted to AUT University
St udent Paper
journals.lww.com
Int ernet Source
etheses.bham.ac.uk
Int ernet Source
ukplatinumessays.com
Int ernet Source
Tympanic Membraneby Lisa MikeTympanic MembraneORIGINALITY REPORTPRIMARY SOURCES
1
Running head: WEEK TWO ASSIGNMENT TWO
8
WEEK TWO ASSIGNMENT TWO
Week Two Assignment Two: Tympanic Membrane and Thyroid Gland
Sample Student Paper
South University
NSG 3012
Week Two Assignment Two: Tympanic Membrane and Thyroid Gland
Conducting a thorough examination of the tympanic membrane and thyroid gland can identify the cause of presenting symptoms. When a patient reports ear pain, blockage, loss of hearing, and/or ear ringing the nurse will need to perform a thorough assessment to identify the cause. Tympanic ear perforation is one issue that may be identified. Additionally, when a patient reports recent weight loss, weight gain, hair loss, fatigue, irritability, and sensitivity to heat or cold, the nurse may suspect thyroid problems and will examine the thyroid. Dysfunction of the thyroid can lead to many problems, hypothyroidism is one such issue, caused by the thyroid not producing the thyroid hormone (Jarvis, 2016). An overview of the tympanic membrane and thyroid gland will be discussed to further detail the associated assessments.
Health History One
A 19-year-old Hispanic male presents to the primary care office with a constant earache lasting three days. He describes the dulling pain as deep in his left ear. He rates the pain as a 10 out of 10. He has a temperature of 101.1. It is suspected the patient may have an ear infection. The patient reports a history of ear infections. Patient denies hearing loss, discharge, ringing or buzzing, and/or ear injury.
Findings for Tympanic Membrane
Examination of the ear are mainly performed using inspection and palpation (Jarvis, 2016). The client was seated on the exam table, with the examiner’s head at the same level as the client’s. The examiner begins by inspecting both auricles for abnormalities. No abnormalities were noted, but the left ear is red in color. The auricles and mastoid areas were palpated to check for swelling, tenderness, or nodules. The left ear was tender to touch. When using an otoscope, the provider is examining the external auditory canal and tympanic membrane. When inspecting the pinna, it is important to look for lesions (Kalyanakrishnan, Sparks, & Berryhill, 2007). Inspecting the canal, the examiner is looking f ...
periodontal indices, gingival index, plaque index, community periodontal index of treatment needs, periodontal disease index scoring criteria, gingival crevice
dental indices and indices of dental caries assessment
decayed missing filled index, root caries index, caries severity classification scale, uses and properties of an ideal index
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
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The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
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Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
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COVID-19 PCR tests remain a critical component of safe and responsible travel in 2024. They ensure compliance with international travel regulations, help detect and control the spread of new variants, protect vulnerable populations, and provide peace of mind. As we continue to navigate the complexities of global travel during the pandemic, PCR testing stands as a key measure to keep everyone safe and healthy. Whether you are planning a business trip, a family vacation, or an international adventure, incorporating PCR testing into your travel plans is a prudent and necessary step. Visit us at https://www.globaltravelclinics.com/
Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
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International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
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6. Case history (case sheet)
Planned professional conversation enables the patient to
communicate his feeling, fear, and sequence of events lead to
the problems for which the patient seeks professional
assistance.
7. Value of a case history
1. Provide info regarding etiology and establish diagnosis.
2. To reveal any medical problem necessitating precaution.
3. Evaluation of other undiagnosed problems.
4. Discover any communicable diseases.
5. Gives an insight in to emotional factors
6. For effective treatment planning.
7. Record maintenance for future reference.
8. Acts as an evidence in legal matters.
8. Components of clinical case sheet
General information
Name : ---------------
Age : -----------------
Gender : -------------
Address : ---------------
Demographic information
9. chief complain C/C
Condition that make patient seeks dental treatment it is recorded
in patient own words as much as possible.
It is the answer for the question “why are you here today?”
Also called presenting complain or complaining of.
if pain is the C/C then we should take HPI (history of present
illness).
10. MEDICAL HISTORY
Information about general body health
• C.N.S
• Growth and development.
• Endocrine system.
• C.V.S.
• Respiratory system.
• G.I.T. system.
• Allergies.
• Medications.
• Hospitalization.
11. If no medical problem is present then we elicited that there is no sign and
symptoms of any systemic disease.
• Symptoms: it is the subjective evidence of a disease perceived by the
patient.
• Sign: it is the objective evidence of a disease elicited by the clinician.
12. Examination
Extra oral examination
Detection of any swelling or
asymmetry in face, extra oral
drainage sinus, pale color of
skin and sclera, and
infection like herpes labialis.
Intra oral examination
Soft and hard tissue
findings.
Oral hygiene, periodontal
condition, carious teeth,
Chart present teeth,
occlusion.
13. Investigation and Final diagnosis
Diagnosis: it is the process of identifying a disease
by its sign and symptoms and also it means
through knowledge.
14. Treatment plan
It is a schedule of procedures and appointments
designed to restore step by step patient’s oral health
and eliminate etiologic factors.
• Treatment of the chief complaint of dental pain will of course
be the priority .
15. Four steps to develop a plan
1. Examination and problem identification
2. Decision to recommend intervention
3. Identification of treatment alternatives.
4. Involve the patient with treatment selection.
16.
17. Basic dental patient examination setup
consists of a
1. mouth mirror.
2. cotton pliers (tweezers).
3. Explorer.
4. cotton dispenser (container)
with cotton.
5. Concentrated sterilized solution.
6. saliva ejector.
7. towels.
8. Mask and gloves.
19. Tooth Numbering Systems
tooth designation systems in general use are
Universal, adopted by the American Dental Association
F.D.I. (or International),the Fédération Dentaire Internationale
Palmer numbering system
European plus / minus system.
20. Universal or ADA System
◦ Permanent Teeth
◦ Start with the right maxillary third molar (number 1) and follow around the
arch to the left maxillary third molar (16); descend to the left mandibular third
molar (17); and follow around to the right mandibular third molar (32).
21.
22. • Primary or Deciduous Teeth
Use continuous upper case letters A through T in the same sequence as for
permanent teeth: right maxillary second molar (A) around to the left maxillary
second molar (J); descend to the left mandibular second molar (K); and around to
the right mandibular second molar (T).
23.
24. International or F.D.I. System
• Permanent Teeth
• Each tooth is numbered by the quadrant (1 to 4) and by the tooth within the quadrant (1 to
8).
• Quadrant Numbers.1 Maxillary right 2 Maxillary left 3 Mandibular left 4 Mandibular right
(clock wise)
• Tooth Numbers Within Each Quadrant Start with number 1 at the midline (central incisor) to
number 8, third molar.
• Designation. The digits are pronounced sepa- rately. For example, ‘‘two-five’’ (25) is the
maxillary left second premolar, and ‘‘four-two’’ (42) is the mandibular right lateral incisor.9
25.
26. Primary or Deciduous Teeth
Each tooth is numbered by quadrant (5 to 8) to continue with the permanent quadrant numbers. The
teeth are numbered within each quadrant (1 to 5).
Quadrant Numbers
5 Maxillary right 6 Maxillary left 7 Mandibular left 8 Mandibular right
Tooth Numbers Within Each Quadrant.
Number 1 is the central incisor, and number 5 is the second primary molar.
Designation. The digits are pronounced sepa- rately. For example, ‘‘eight-three’’ (83) is the
mandibular right primary canine, and ‘‘six- five’’ (65) is the maxillary left second primary molar.
27.
28. Palmer notation
(chevron system)
◦ With number 1 for each central incisor, the teeth in each quadrant are numbered to 8,
the third molar. To identify individual teeth, horizontal and vertical lines are drawn to
indicate the quadrant. For example, the left maxillary first premolar is 4 , the right
mandibular first and second molars are 76 . An entire quadrant may be represented by
the use of the letter Q, for example, the maxillary right quadrant is Q .
29.
30. Primary or Deciduous Teeth
Upper case letters A through E are used instead of the numbers. Examples are the mandibular left canine C
and the maxillary right first primary molar D .
31. European system
(plus/minus system)
◦ This system uses (+) for the maxillary teeth and (-) for the mandibular
teeth for permanent teeth , the teeth of each quadrant are numbered
from 1-8 beginning with central incisor .
◦ In primary teeth, the teeth of each quadrant are numbered from 01,02
to …. 05.