Oral+Surgery+Case+Presentation

=1) Chief Complaint= =2) History of Present Illness(HPI):= =3) Past Medical History(PMHx):= =4) Past Surgical History(PSHx): To make sure to catch anything the patient may have not added in PMHx= =5) Physical Examination(PE)= =6) Diagnosis= =7) Treatment Plan=
 * How long have they had this?
 * What Past Treatments We're Performed?
 * What Was The Outcome Of Past Procedures?
 * **Systemic:** diabetes, high blood pressure, kidney stones, transplants, cancers
 * **Medication:**
 * What are the medications? (Are they taking bisphsophonates?)
 * What do the meds do?
 * Do they have an effect on your treatment?
 * **Allergies**
 * What is the reaction to the reported allergy (ex - my heart races when I get injections. Not a true allergy)
 * Transplants, Frequent Fractures, Cancers
 * Head/Neck Radiation?
 * Extra Oral:
 * Swellings: Where is it? Submandibular, Buccal, Infratemporal, Temple
 * If Swelling is below the mandible, palpate the inferior border. If you can't palpate on one side it is a bad indication.
 * Lymph Nodes
 * Symmetry
 * Intra Oral
 * Check Everything - Not just the extremely inflamed tooth
 * You are responsible for anything that shows up on the x-ray