DifferentialDiagnosisofOralandMaxillofaciallesions.pptVIP

Differential Diagnosis of Oral and Maxillofacial lesions 學習目標 瞭解主訴的涵義 瞭解問診的內容 熟悉診斷的步驟 瞭解各種檢查方法之使用時機 學習資源及主要圖片引用: 1. Differential diagnosis of oral lesion. Wood, Gooz(Mosby), 5th ed., 1997. 2. 口腔病理科門診臨床記錄 Clinical pathology, a study of change Purpose: overview of significance and application of medicine in the dentistry The dentist does not only treat “teeth in patients “ but patients who have teeth or not”. Possible Procedures Leading to Diagnosis IN the procedures, you have to do 1. To identified—undetected systemic disease 2. To identified —taking drug or medicine as clue 3. To modify– treatment planning 4. To protect –medical-dental legal standpoint 5. To communicate –medical consultants 6. To establish –good patient-dentist relation ship The Diagnostic Sequence 1. Detection and examination of the lesion 2. Examination of the patient Chief complaints Onset and course 3. Re-examination of the lesion 4. Classification of the lesion 5. Listing the possible diagnosis 6. Developing the differential diagnosis 7. Working diagnosis 8. Final diagnosis 1. RECORDING THE IDENTIFYING DATA 2. HISTORY AND PHYSICAL EXAMINATION 3. CHIEF COMPLAINT 4. PRESENT ILLNESS 5. PAST MEDICAL HISTORY Family history Social history Occupational history Dental history 6. REVIEW OF SYMPTOMS BY SYSTEM 7. PHYSICAL EXAMINATION Radiologic examination 8. DIFFERENTIAL DIAGNOSIS 9. WORKING DIAGNOSIS 10. Medical laboratory studies 11. Dental laboratory studies 12. Biopsy Incisional Excisional Fine-needle aspiration Exfoliationg cytology Toludine blue staining 13. Consultation 14. FINAL DIAGNOSIS 15.TREATMENT PLAN Detection and examination of the patient’s lesion History taking Inspection Palpation Percussion Aspiration, Auscultation Radiographic examination Laboratory examination History Tak