Jumat, 08 April 2011

paeds clerking

aku baru teringat nak tulis cmne nk clerk patients kt paeds. banyak ok, pasal sp paeds aku nih cerewet gilak!

c/o : yg lengkapla.. sakit bila etc.

G/C(General condition) : walk in unaided, on wheel chair, on piggy back etc..

FH (family history) : buat kotak untuk lelaki, bulat untuk pmpuan. tls umur dan medical illnes kalo ada.

SH (social hx) : seklah ke pe ke...ibubapa bercerai ke..

MH (medical hx) : ada 4 benda ( medical illness, pernah hosp[italized ke tak, ada amik ubat ke, ade allergic ke.NKDA-no known drug allergy)

DH (dental hx) : LA experience

EO (xtraoral) : mouth opening, lip

IO (intraoral) : bape bnyk caries, oral hygiene cmne

Habit : thumbsucker ke, bottlefeed lg ke, brush teeth aided or not, if aided, patient tu bg tak orang lain gosok gigi dia..atau find difficulties in brushing the pt's teeth...blabla...
- bottlefeed till sleep or not, toothpaste fluoridated or not...bosannyee haih bicara hal nih!

Diet : ada campur gula/honey ke dlm susu, frequency amek coklat..ape fav drinks- ribena/milo etc..bagi diet sheet ok.

Dx : kalo caries lebih dr 3, pt bawah 6 thn, tu ECC tau.
Mx : OH reinforcement must be one of them. do prophy or oral toilette if pt uncooperative. tooth mousse pun jgn lupa sapu
Tx plan :comprehensive dental tx under GA is the last choice orait!



LASTLY, nasib baik dh habis paeds! hehe

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