i have got 101 questions about HHD and dental stuff but my brain capacity is only 1GB (though some studies say the capacity of our brain is 1 to 1000 terabytes)
C'mon, time to let your Pentium-4 or Athlon XP shine!
HHD
- What is the management for acute stroke?
- How is oral lichenoid reaction treated?
- Is GA contraindicated for patient with epilepsy?
- How is jaundice treated?
- What precautions should be taken in treating patient who has just undergone renal transplantation?
- Is nitrous oxide safe to sedate patient with COPD?
Endodontics
- Why is TTP important in endodontic diagnosis?
- What are the clinical and radiographic signs of an acute apical abscess?
Prevention
- What antibiotics should be prescribed for adult periodontitis?
- What is triclosan?How does it work?
- How does dental fluorosis increase the risk of dental caries?
These are just a few questions that constantly bugging me to say the least.
So, do have a go at them, whether to do me a favour or to help yourself recall.
Oh, before i sign off, here is one last question for you to ponder
What is CMG? (This one should be obvious if you can answer all the questions above)
*wink*
8 comments:
u can save for tonites osce practice, we bring together n discuss.
I'll attempt 2 questions. There others a bit hard...
Management of stroke
1) History
2) Examination
3) Blood test (FBC, U&Es, clotting, lipid profile, glucose)
4) ECG
5) CT scan of the head (to differentiate thromboembolic or haemorrhagic stroke)
3 categories of patients:
a) embolic stroke, onset < 3hrs ago
~ consider thrombolysis with tPA
b) embolic stroke, onset > 3hrs ago
~ give aspirin/clopidogrel, heparin & statin
For both (a) & (b)
~ investigate for atrial fibrillation (ECG), post-MI thrombosis (echocardiogram), endocarditis & carotid artery stenosis (ultrasound doppler). Refer accordingly.
~ check for risk factors, eg hypertension, diabetes, hyperlipidaemia, smoking. Treat accordingly.
c) haemorrhagic stroke
~ common causes are hypertension and cerebral aneurysm
~ immediate treatment is supportive (ie O2, fluid & nutrition)
For all stroke patients (a/b/c)
~ MUST admit to a stroke unit
~ stroke rehabilitation (keep patient nil by mouth, give IV fluid & NG nutrition, assessment by therapists)
Summary: The only "cure" is thrombolysis in patients (a). Others are all prevention against another stroke, and rehabilitation to maximise recovery.
Treatment of jaundice (I assume you mean adult jaundice)
1) Find the cause (haemolytic anaemia? hepatitis? alcohol? drugs? gallstone? etc)
2) Refer/treat according to the underlying cause.
Summary: Jaundice is a sign, not a disease. Treating the underlying cause will remove the sign.
helen: 9.30 at gan's room?i heard he's got sphygmomanometer n stethoscope in his room...he can't be serious!
xxx: Now i see, jaundice is not a disease...no wonder there's nth abt tx in oxford clinical med.OMG..ur management for stroke is even longer than wat is in my notes but they are very very helpful..thanks alot:):)
#antibiotic for periodontal disease:
1. tetracycline (--> doxycycline) 100mg once daily for 21 days
2. amoxycillin 500mg tds 1-2weeks
3. metronidazole 200mg tds
...prof H ckp he expects us to know these 3 drugs.
#triclosan is anti-bacterial in toothpaste kan? but it is non-ionic so it doesnt react with the detergent in dentrifice. so usually ade copolymer together with it like zinc citrate. but im not really sure how it works though...mcm fluoride kah against caries? this triclosan helps to reduce plaque formation and gingivitis kan?
#dental fluorosis = flecky enamels. weaken the tooth structure already...increase porosity of enamel, pitting, and prone to fracturing. so maybe la kan.... more chances for plaque build-up, and since enamel layer dah weaken/less, it'll invade dentine quicker?
ha ha ha thats my guess. wuts the answer wei for that ttp tuh?
u lari so awal smlam!Guess wat time we finished? 4am!!!!!U shud hav seen wat we became towards the end of the discussion: helen started talking nonsense, I was practically acting like a retard while menaka's brain seemed to work better after 3am coz she was the one answering gan's Qs when our brains already clogged up.
I read that ttp is used to localise pain so maybe it helps in finding the source of pain when pt complains of radiating pain??
Oh,i suddenly miss prof sam!
*sob*
that tetracyclines regime is for non-gonococcal urethritis infection...
you people..dentists simply give drugs...now i would re-consider to ask advice from malaysian dentists... ish ish ish!
kenny: i thought tetracycline is a wide-spectrum antibiotic used in the treatment of infections of the respiratory tract, sinuses, middle ear, acne, intestines etc..not just for urinary tract infection. Periodontitis is caused by a mixture of gram +ve n -ve ,anaerobic and aerobic bacteria in the mouth.Therefore a wide-spectrum antibiotic like tetracycline n doxycycline work esp for acute periodontitis.
you dont use for 21 days mah...usually 7-14 days...unless recurrent then 21 days lo...that's what i meant...
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