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  • Oral Diagnosis Medical Worksheet

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    zeklawy
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    This document is a medical problem worksheet for assessing a patient's medical history and determining any necessary modifications for dental treatment. It includes sections to note the patient's medical problem, associated drugs, presence of related symptoms/signs/lab tests, control of the condition, potential issues of concern like allergies or bleeding, and a dental management plan outlining any needed pre-, intra-, or post-operative modifications.

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    Medical Problem Worksheet

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    This document is a medical problem worksheet for assessing a patient's medical history and determining any necessary modifications for dental treatment. It includes sections to note the patient's medical problem, associated drugs, presence of related symptoms/signs/lab tests, control of the condition, potential issues of concern like allergies or bleeding, and a dental management plan outlining any needed pre-, intra-, or post-operative modifications.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views1 page

    Oral Diagnosis Medical Worksheet

    Uploaded by

    zeklawy
    This document is a medical problem worksheet for assessing a patient's medical history and determining any necessary modifications for dental treatment. It includes sections to note the patient's medical problem, associated drugs, presence of related symptoms/signs/lab tests, control of the condition, potential issues of concern like allergies or bleeding, and a dental management plan outlining any needed pre-, intra-, or post-operative modifications.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Oral Diagnosis and Oral Medicine

    Medical Problem Worksheet

    Medical problem: __________________________________________

    Drugs taken for this problem: ___________________________________________

    ___________________________________________

    Presence of disease-related (Circle if present): Symptoms Signs Abnormal Lab Test

    Degree of control/stability: Excellent Good Fair Poor Not able to determine

    Possible issues or concerns (Circle all that apply):

    A: Antibiotics (prophylactic or therapeutic)

    Anesthesia (type: vasoconstrictor)

    Anxiety

    Allergy

    B: Bleeding

    C: Chair position

    D: Drugs (interactions; adverse effects; side effects; allergies)

    Devices (prosthetic valves; prosthetic joints; stents; pacemakers; A-V fistulas)

    E: Equipment (x-rays; Cavitron; electrosurgery, oxygen)

    Emergencies (potential for occurrence)

    Dental Management Plan: ______No modifications required

    Pre-operative modifications:

    Intra-operative modifications:

    Post-operative modifications:

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