Examen Clinic Curs 4
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TEMATICA
I. Sistematizarea teritoriului oro-maxilo-facial
II. Etapele examenului clinic
I. Sistematizarea teritoriului oro-maxilo-facial
II. Etapele examenului clinic
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SCOP
Depistarea semnelor orale
determinate de boli generale
Descoperirea manifestărilor patologice
dentoparodontale şi maxilofaciale
Identificarea
riscului operator
Stabilirea relaţiei medic-pacient
Identificarea bolilor
contagioase
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II. Etapele examenului clinic
1. Anamneza
2. Examenul clinic loco-regional
3. Examenul clinic general
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Foaia de observaţie
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→ Interogatoriul
depinde de experienţa medicului
timp relativ mare
omiterea unor întrebări
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→Chestionarul economie e timp compensarea lipsei de
experienţă acoperirea tuturor
domeniilor de interes
DAR: metodă mecanicistă subaprecierea întrebărilor şi răspunsul incomplet nu se adaptează la nivelul intelectual al
pacientului dificil de conceput un chestionar simplu
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Anamneza
1. Numele, prenumele, vârsta şi adresa pacientului
2. Motivele prezentării
3. Istoricul bolii
4. Antecedentele pacientului
5. Condiţii de viaţă şi muncă
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2. Examenul clinic loco-regional
Mijloace de examinare:
Inspecţia Palparea Ascultaţia Percuţia
Mijloace de examinare:
Inspecţia Palparea Ascultaţia Percuţia
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Etapele examenului clinic
B. Examenul intraoral
A. Examenul extraoral
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A. Examenul clinic extraoral
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INSPECTIA
Inspectia de fata Inspectia de profil
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Palparea
1. părţilor moi ale feţei
2. reliefului osos facial
3. limfonodulilor
4. articulaţiei temporo-mandibulare
5. studierea sensibilităţii feţei
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B. Examenul clinic intraoral
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Se examinează
Orificiul bucal Buzele Vestibulul bucal Deschiderea gurii Cavitatea bucală propriu-zisă
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EXAMENUL CLINIC GENERAL
Oferă date importante în vederea :
stabilirii diagnosticului prevenirii accidentelor şi complicaţiilor
operatorii urmăririi evoluţiei bolii aprecierii prognosticului