CDCA Review Notes Verified Solutions

CDCA Review Notes Verified Solutions Primary Teeth Calcification Calcification: ADBCE; 14/15/16/17/18 weeks Permanent Teeth Calcification Primary Teeth Eruption sequence Eruption: ABDCE; 7/8/12/17/22 months Permanent Teeth Eruption sequence Max: Mand: Max (in years of age) - 1st molar: 6 - Incisors: 8 - premolars/canine: 12 - 2nd molar: 12-14 - 3rd molar: 17-30 Mand (in years of age) - 1st molar: 6 - Incisors: 8 - canine: 10 - premolars: 12 - 2nd molar: 12-14 - 3rd molar: 17-30 ABC of Medical Emergency Airway Breathing Circulation CUSHING SYNDROME - Cushing Disease: ACTH secreting tumor in pituitary - Small cell carcinoma of the lung: ACTH production - Adrenal gland adenoma/carcinoma - Iatrogenic (exogenous) CORTISOL INSUFFICIENCY - Waterhouse Friderichsen Syndrome: Neisseria meningitis - Stress in chronic adrenal insufficiency - cold turkey steroids - Addison disease (caused by autoimmune, tuberculosis, AIDs, fungal infections, metastatic cancer (lung & breast) and systemic conditions. - pituitary/hypothalamic tumor/infarction/trauma - Adrenal crisis HYPERTHYROIDISM - Graves disease: autoantibodies bind to TSH receptors & stimulate thyroid hormone production outside of TRH/TSH - Toxic multinodular goiter - Toxic thyroid adenoma HYPOTHYROIDISM - Hashimoto Thyroiditis: chronic lymphocytic thyroiditis; immune response to thyroid antigens; depletion of thyroid epithelial cells associated with lymphocytic infiltrates (B & T cells) and fibrosis; increases risk for b-cell lymphoma. - Myxedematous crisis: invasive surgical procedures in a hypothyroid patient can cause this thyroxine (T4) --- levothyroxine - T4 triiodothyronine (T3) --- liothyronine - T3 Got it. What lab values (within 6 months) should we consider which will generally dictate whether we can perform dental treatment or not? (2) *in regard to HIV/AIDS Absolute Neutrophil Count (ANC) Platelet count Which other lab values will help us assess patient's current health status but DO NOT dictate whether we can perform dental treatment? (2) *in regard to HIV/AIDS CD4 count Viral load *According to the CDC, which of the following is considered an AIDS diagnosis? A. HIV+ with CD4+ T cell count of 200/mm3 B. HIV+ with CD4+ T cell count of 200/mm3 C. HIV- with CD4+ T cell count of 200/mm3 D. HIV- with CD4+ T cell count of 200/mm3 B. HIV+ with CD4+ T cell count of 200/mm3 *however, there are other ways of diagnosing AIDS Once HIV infection is established then one of 3 things can diagnose AIDS. Name the 3 diagnostic items **1. CD4+ T-Cell count less than 200/mm3 2. CD4+ T-Cells are less than 14% of the total lymphocyte count (normal is 68%) **3. Documentation of an AIDS defining condition There are many AIDS defining conditions but which 4 do we need to know? ● Esophageal candidiasis ● Herpes simplex (HSV) chronic ulcers ● Kaposi sarcoma ● Lymphomas (primary to brain, immunoblastic, and Burkitt) *What are the 4 HHV types that we need to know along with their alternate names? HHV-1 - Herpes Simplex Virus 1 (HSV1) HHV-4 - Epstein-Barr-Virus (EBV) HHV-5 - Cytomegalovirus (CMV) HHV-8 - Kaposi Sarcoma Associated Herpesvirus (KSHV)