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
what is a blisterform lesion?
- lesion contains fluid, soft and translucent.
what is a nonblisterform lesion?
- solid, do not contain fluid.
what is erythema?
red area of variable size and shape. reaction to irritation, radiation or injury
what are the most common sites for neoplasms? (4)
- floor of the mouth
- lateral tongue
- lower lip
- soft palate complex
- atypical but not suggestive of malignant cells
- uncertain (possible for cancer)
- reevaluate clinical findings; biopsy indicated
- probable cancer
- refer for biopsy
- positive for cancer
- refer for biopsy
what is localized?
limited to a small focal area
what is generalized?
involves most of an area or segment
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
reevaluate clinical findings
report of class III; biopsy usually indicated
refer for biopsy
report of class IV or V
(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
subjective data is ________ and _________ with the patient. it includes chief complaint, perception of health, care, and ________ placed on oral health
- observation and oral assessment
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
what is bidigital palpation?
finger and thumb of the same hand
use of a single finger
the use of finger or fingers and thumb from each hand applied simultaneously in coordination
two hands are used at the same time to examine corresponding structures on the opposite sides of the body
# of lymph nodes in the body
# of lymph nodes in the neck
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