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what are some objectives of the IO/EO?
- observe the pt overall
- screen each patient to detect pathology that is possibly cancerous
- recognize need for postponing treatment
- recognize initial lesions
- deviations from the norm
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what is a blisterform lesion?
- lesion contains fluid, soft and translucent.
- vesicles
- pustule
- bullae
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what is a nonblisterform lesion?
- solid, do not contain fluid.
- papules
- nodules
- tumors
- plaques
- predunculated/sessile
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what is erythema?
red area of variable size and shape. reaction to irritation, radiation or injury
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what are the most common sites for neoplasms? (4)
- floor of the mouth
- lateral tongue
- lower lip
- soft palate complex
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class II:
- atypical but not suggestive of malignant cells
- monitor
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class III:
- uncertain (possible for cancer)
- reevaluate clinical findings; biopsy indicated
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class IV:
- probable cancer
- refer for biopsy
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Class V:
- positive for cancer
- refer for biopsy
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what is localized?
limited to a small focal area
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what is generalized?
involves most of an area or segment
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(which class?)
1. patient dismissed when lesion has healed
2. if lesion persists, DDS reevaluates and may request repeat of cytoligic smear or suggest and perform biopsy
report of class I or II
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(class?)
reevaluate clinical findings
report of class III; biopsy usually indicated
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(class?)
refer for biopsy
report of class IV or V
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(type of report)
1. follow up on lesion at subsequent appointments if negative report is obtained
2. false negatives possible; malignancy may still exist, follow up imperative
negative report
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subjective data is ________ and _________ with the patient. it includes chief complaint, perception of health, care, and ________ placed on oral health
- observation and oral assessment
- value
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physical and oral assessment. record clinical and radiographic findings to show evidence of disease in teeth and perio tissues including: probing depths, loss of perio attachment, caries, and defective restorations
objective data
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what is bidigital palpation?
finger and thumb of the same hand
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digital palpation
use of a single finger
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bimanual palpation
the use of finger or fingers and thumb from each hand applied simultaneously in coordination
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bilateral palpation
two hands are used at the same time to examine corresponding structures on the opposite sides of the body
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# of lymph nodes in the body
400-700
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# of lymph nodes in the neck
170-200
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what is auscultation?
the act of listening for sounds w/in the body to evaluate the condition of the heart, blood vessels, lungs, or other organs
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