Med pathology
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, Characteristics of ASA 2 ● Current smoker, pregnant, controlled hypertension,
controlled diabetes, controlled epilepsy, asthma, social
drinker, obesity
Characteristics of ASA 3 ● Stable angina, history of heart attack or stroke (> 3 months
ago), poorly controlled hypertension (BP > 140/90), poorly
controlled diabetes (HbA1c > 7%), poorly controlled epilepsy,
end-stage renal disease undergoing regular dialysis, alcohol
dependence
Characteristics of ASA 4 ● Unstable angina, recent heart attack or stroke (< 3 months
ago), hypertensive emergency, uncontrolled seizures,
end-stage renal disease without regular dialysis
- no elective dental care
-urgent care in hospital setting
Characteristics of ASA 5 ● End-stage organ dysfunction, end-stage cancer, massive
trauma victim
less than 24 hours to live
Characteristics of ASA 6 brain dead
what is Addison's disease and signs and symptoms ● Decreased production of cortisol
○ Hypothalamus (CRH) → anterior pituitary (ACTH) → adrenal gland
(cortisol)
● Endogenous
○ Can be due to immune destruction of glands
● Signs/symptoms
○ Hyperpigmentation, immune compromise, fatigue, weakness, weight
loss
what are patient considerations and oral manifestations oral manifest: pigmentation of oral mucosa
of addisons
if well controlled
- avoid stress
steroid supplement for intense surgery
if poorly controlled,
- refer to doctor
What is Cushing's syndrome/signs and symptoms ● Increased production of cortisol
● Endogenous
○ Can be due to tumor
● Exogenous
○ Due to glucocorticoid usage
● Signs and symptoms
○ Moon face, buffalo hump, central obesity, hypertension, mood changes, fatigue
what are patient considerations for cushings syndrome well controlled:
- avoid stress
- cautious use of general anesthesia
- drug interations
poorly controlled:
- refer to doctor
What is type 1 diabetes Type I: Lack of insulin production due to autoimmune reaction
against pancreatic beta cells
what is type 2 diabetes? Type II: Resistance to insulin due to target cells that are no
longer sensitive, usually associated with obesity