Podcast
Questions and Answers
What is vitiligo primarily characterized by?
What is vitiligo primarily characterized by?
- Appearance of tan or brown patches during pregnancy.
- Visible veins under the skin due to inflammation.
- Loss of pigment cells leading to discolored patches. (correct)
- The skin produces excess pigment cells.
Which condition is commonly referred to as the 'pregnancy mask'?
Which condition is commonly referred to as the 'pregnancy mask'?
- Vitiligo.
- Melasma. (correct)
- Clubbing of the fingers.
- Petechiae.
What might the presence of petechiae or ecchymosis indicate?
What might the presence of petechiae or ecchymosis indicate?
- Vitamin deficiency.
- Potential bleeding problems or blood thinner use. (correct)
- Growth of tumors.
- Skin infection or trauma.
What can be a possible sign of heart or respiratory problems?
What can be a possible sign of heart or respiratory problems?
What factor can contribute to pigmentation alteration?
What factor can contribute to pigmentation alteration?
When might yellowing of the skin and whites of the eyes be a concern?
When might yellowing of the skin and whites of the eyes be a concern?
Which of the following is NOT a common cause of pigmentation change?
Which of the following is NOT a common cause of pigmentation change?
How does melasma typically respond after pregnancy?
How does melasma typically respond after pregnancy?
What is the primary hormone involved in causing moon facies?
What is the primary hormone involved in causing moon facies?
Which of the following conditions could contribute to elevated cortisol levels?
Which of the following conditions could contribute to elevated cortisol levels?
What facial feature is commonly associated with moon facies?
What facial feature is commonly associated with moon facies?
Which diagnostic tests help confirm the presence of abnormal cortisol levels related to moon facies?
Which diagnostic tests help confirm the presence of abnormal cortisol levels related to moon facies?
What is the link between long-term steroid use and moon facies?
What is the link between long-term steroid use and moon facies?
Which hormone released by the pituitary gland prompts cortisol production?
Which hormone released by the pituitary gland prompts cortisol production?
Why can diagnosing Cushing's syndrome be challenging?
Why can diagnosing Cushing's syndrome be challenging?
Which of the following is NOT commonly associated with moon facies?
Which of the following is NOT commonly associated with moon facies?
What factor primarily influences the risk of developing Cushing's signs and symptoms?
What factor primarily influences the risk of developing Cushing's signs and symptoms?
Which facial feature may indicate muscle weakness in children using steroids?
Which facial feature may indicate muscle weakness in children using steroids?
What characteristic of the nose is described in relation to children with certain steroid effects?
What characteristic of the nose is described in relation to children with certain steroid effects?
Which feature is common among the eyes of children showing signs related to steroid use?
Which feature is common among the eyes of children showing signs related to steroid use?
What is the term used to describe flattened cheekbones in children affected by steroid use?
What is the term used to describe flattened cheekbones in children affected by steroid use?
What condition is indicated by a yellow coloration of the skin and eyes due to high levels of bilirubin?
What condition is indicated by a yellow coloration of the skin and eyes due to high levels of bilirubin?
What can pale skin indicate in a patient?
What can pale skin indicate in a patient?
What causes brown spots on the skin?
What causes brown spots on the skin?
What skin discoloration occurs when the kidneys fail to excrete toxins properly?
What skin discoloration occurs when the kidneys fail to excrete toxins properly?
Which skin abnormality is characterized by localized benign proliferations of melanocytes?
Which skin abnormality is characterized by localized benign proliferations of melanocytes?
What is the term for the rounded, swollen facial appearance often seen in patients with obesity or Cushing's syndrome?
What is the term for the rounded, swollen facial appearance often seen in patients with obesity or Cushing's syndrome?
Which of the following can cause skin discoloration due to the retention of urochromes?
Which of the following can cause skin discoloration due to the retention of urochromes?
What type of blue nevi is more than 1 cm and may resemble nodular melanoma?
What type of blue nevi is more than 1 cm and may resemble nodular melanoma?
What aspect of the patient's appearance should be noted during the general examination?
What aspect of the patient's appearance should be noted during the general examination?
What is a possible impact of observing a patient in a wheelchair during the examination?
What is a possible impact of observing a patient in a wheelchair during the examination?
How should significant asymmetries be assessed in a patient?
How should significant asymmetries be assessed in a patient?
What might decreased mobility of the head and neck indicate during the examination?
What might decreased mobility of the head and neck indicate during the examination?
Which of the following is NOT a key area of examination in the extraoral assessment?
Which of the following is NOT a key area of examination in the extraoral assessment?
What should a clinician do if they notice facial asymmetries during the examination?
What should a clinician do if they notice facial asymmetries during the examination?
Why is it important to consider a patient’s medical history during a dental examination?
Why is it important to consider a patient’s medical history during a dental examination?
What is the primary focus of the extraoral head and neck soft tissue examination?
What is the primary focus of the extraoral head and neck soft tissue examination?
What is a characteristic facial appearance of individuals with Down syndrome?
What is a characteristic facial appearance of individuals with Down syndrome?
Which of the following features is NOT found in nearly every person with Down syndrome?
Which of the following features is NOT found in nearly every person with Down syndrome?
What distinguishes kwashiorkor from marasmus?
What distinguishes kwashiorkor from marasmus?
Malar rash is characterized by a pattern that covers which areas?
Malar rash is characterized by a pattern that covers which areas?
Scaly skin can result from various environmental factors; which factor is NOT commonly associated with skin desquamation?
Scaly skin can result from various environmental factors; which factor is NOT commonly associated with skin desquamation?
What common condition can lead to skin desquamation accompanied by itching?
What common condition can lead to skin desquamation accompanied by itching?
Red spots or rash can be caused by numerous dermatological issues; which of the following is not a cause listed?
Red spots or rash can be caused by numerous dermatological issues; which of the following is not a cause listed?
Which feature is characteristic of face malnutrition, particularly in acute forms?
Which feature is characteristic of face malnutrition, particularly in acute forms?
Flashcards
General Examination
General Examination
A comprehensive evaluation of the patient's overall appearance, including gait, mobility, and any noticeable asymmetries.
Extraoral Head and Neck Soft Tissue Examination
Extraoral Head and Neck Soft Tissue Examination
A detailed analysis of the head and neck, examining for any signs of asymmetry, lesions, or scars.
Intraoral Soft Tissue Examination
Intraoral Soft Tissue Examination
Checking the oral cavity to ensure all soft tissues are normal and healthy.
Asymmetries
Asymmetries
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Mobility
Mobility
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Gait
Gait
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Lesion
Lesion
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Scars
Scars
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What is Jaundice?
What is Jaundice?
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What is Anemia?
What is Anemia?
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What causes Brown Spots?
What causes Brown Spots?
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How do kidney problems affect the skin?
How do kidney problems affect the skin?
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What is Basal Cell Carcinoma?
What is Basal Cell Carcinoma?
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What are Blue Nevi?
What are Blue Nevi?
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What is Moon Facies?
What is Moon Facies?
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What causes Moon Facies?
What causes Moon Facies?
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Vitiligo
Vitiligo
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Melasma
Melasma
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Pigmentation Alteration
Pigmentation Alteration
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Other Factors Affecting Pigmentation
Other Factors Affecting Pigmentation
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Yellowing of the Skin and Eyes
Yellowing of the Skin and Eyes
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Petechiae
Petechiae
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Ecchymosis
Ecchymosis
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Hematoma
Hematoma
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Steroid Side Effects Risk Factors
Steroid Side Effects Risk Factors
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Steroid-Induced Myopathy
Steroid-Induced Myopathy
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Steroid-Induced Nose
Steroid-Induced Nose
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Steroid-Induced Eyes
Steroid-Induced Eyes
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Steroid-Induced Mouth
Steroid-Induced Mouth
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Moon Facies
Moon Facies
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Cortisol
Cortisol
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Cushing's Syndrome
Cushing's Syndrome
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ACTH (Adrenocorticotropic Hormone)
ACTH (Adrenocorticotropic Hormone)
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Hypercortisolism
Hypercortisolism
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Steroid Treatment
Steroid Treatment
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MRI or CT Scan
MRI or CT Scan
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Blood and Urine Tests
Blood and Urine Tests
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Down Syndrome Facial Features
Down Syndrome Facial Features
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Epicanthic folds
Epicanthic folds
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Upslanting Palpebral Fissures
Upslanting Palpebral Fissures
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Brachycephaly
Brachycephaly
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Malar Rash
Malar Rash
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Acute Malnutrition
Acute Malnutrition
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Skin Desquamation
Skin Desquamation
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Red Spots on Skin
Red Spots on Skin
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Study Notes
Oral Examination of the Patient
- A complete examination covers the head and neck, the general appearance, and extraoral head and neck soft tissue examination.
General Examination
- Observe the patient's general appearance, symmetry, gait, and mobility as they enter the operatory and during the history taking.
- Note any facial asymmetries, lesions, or scars.
- A patient's wheelchair use, stroke history, or medications can affect treatment and need to be noted for proper dental care.
- Assess for adequate oral hygiene and mobility of the head and neck for patient tolerance of dental procedures.
Extraoral Head and Neck Soft Tissue Examination
- Focuses on the head and neck.
- Determines if soft tissue is within normal limits (WNL).
Intraoral Soft Tissue Examination
- Determines if the intraoral soft tissue is within normal limits (WNL).
Asymmetries
- Observe the head and neck for asymmetries by standing in front of the patient.
- Compare one side of the head and neck to the other.
- Note any significant asymmetries, such as previous surgeries, nerve paralysis (e.g., CVA/stroke), tumors, or infections.
Abnormal Facial Color
- Examine the patient's exposed skin, including the face.
- Look for petechiae, ecchymosis, or hematomas, which may indicate bleeding disorders.
- Yellowish skin may suggest jaundice or liver problems, while clubbing of the fingers may indicate heart or respiratory issues.
- Other skin conditions like vitiligo, melasma (chloasma), or pigmentation alteration (post-inflammatory hyper- or hyperpigmentation) should be noted.
- Consider the patient's medical history for possible causes of discoloration.
Facial Features - Moon Facies
- Swollen rounded face shape, extra fat on the sides.
- Often related to Cushing's syndrome (high cortisol levels).
- Can be caused by increased hormone release (cortisol), specifically from the adrenal glands.
- Associated conditions include pituitary gland problems and tumors of the lung, pancreas, or thymus; or benign tumors/cancers in the adrenal glands.
Moon Facies and Steroid Treatment
- Long-term steroid use (like prednisone) can lead to similar symptoms as Cushing's Syndrome, including moon face due to weight gain and redistribution of fat.
- Should consult regarding steroid use, dose, and duration.
Facial Features - Additional Aspects
- Assess and note features such as:
- Scaly skin (desquamation) from environmental factors, allergies, infections, or other medical conditions.
- Red spots/rash that can stem from infections, allergens, immune system disorders, or medications.
- Skin moles, especially if changes in size, shape, or color are noted, could be abnormal.
- Note presence of edema, and any other unusual characteristics of the skin for possible issues.
- Assess other facial features like eyes (size, shape, and placement), mouth (lip shape, and philtrum), nose (size, and shape).
- Down syndrome characteristics such as flattened face with epicanthic folds, upslanting palpebral fissures and a brachycephalic (smaller) head.
- Malar rash (butterfly rash) on the cheeks and nose.
- Assess for any signs of malnutrition, such as a face of malnourishment which has specific observable facial characteristics
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