LATEST AAOMS DAANCE Exam ()

Medical records should contain: - ANSWER General/business info Chief complaint History of present and past illness Consent forms Radiographs Referrals Notes Anesthesia records Op notes Medications Discharge score Review of Systems: General - ANSWER Weight loss, loss of appetite, fatigue, and weakness may indicate metabolic disease (thyroid problems, diabetes) Review of Systems: Skin - ANSWER Bruising, bleeding, discoloration may indicate clotting disorders, liver or adrenal disease Review of Systems: Cardiovascular - ANSWER Headaches, dizziness, nosebleeds, shortness of breath, chest or arm pain, edema. May indicate heart or blood pressure problems Review of Systems: Pulmonary - ANSWER Shortness of breath, dizziness, chronic cough, wheezing, productive cough. May indicate obstructive airway disease Review of Systems: Gastrointestinal - ANSWER Loss of appetite, swallowing, change in taste, nausea, vomiting, diarrhea, constipation. May indicate liver disease, malabsorptive syndromes, IBD, drug abuse, or psych disorder Review of Systems: Genitourinary - ANSWER Dysuria, polyuria, hematuria, incontinence, or discharge may indicate UTI, diabetes, or malignancy Review of Systems: Musculoskeletal - ANSWER Weakness of extremities, atrophy of muscles, frequent cramping of muscles. May indicate metabolic disorder, nerve damage, or nerve/immunology diseases PADS - ANSWER Post-anesthetic Discharge Score Risk assessment of cardiovascular disease - ANSWER All patients with coronary disease should be treated as high risk Ischemic Heart Disease (IHD) - ANSWER A decrease in blood flow to the coronary arteries decreases the oxygen available to muscle cells, which can temporarily or permanently damage heart muscles. Caused by the buildup of plaque, causing artherosclerosis angina pectoris - ANSWER chest pain that results when the heart does not get enough oxygen Pain radiates to mandible and/or left arm Relieved by vasodilator drug NITROGLYCERIN unstable angina - ANSWER chest pain that occurs while a person is at rest and not exerting himself as the result of microemboli acute coronary syndrome (ACS) - ANSWER sudden symptoms of insufficient blood supply to the heart indicating unstable angina or acute myocardial infarction The result of ischemic heart disease Beta Blockers - ANSWER Metoprolol (Lopressor) Reduces the effects of excessive adrenergic stimulation on the heart Antibiotic Prophylaxis recommendations - ANSWER Recommended for patients with the highest risk for endocarditis: Prosthetic heart valves History of endocarditis Heart transplant Congenital heart defects (like cyanotic congenital heart disease) Treating patients that have undergone myocardial infarction - ANSWER A consult with the cardiologist is necessary Elective surgery can be performed 6-8 weeks after myocardial infarction with consult with cardiologist Systolic Pressure - ANSWER Blood pressure in the arteries during contraction of the ventricles. Diastolic Pressure - ANSWER The pressure in the arteries when the heart is at rest or filling to contract Diuretics - ANSWER Exert their effects on the kidneys to reduce the intravascular volume, reducing blood pressure