By Rich Marino
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Extra info for BarCharts QuickStudy Dental Anatomy
Where information is refused, this should be documented in the patient’s notes and/or on a consent form. The important thing is for the clinician to record sufficient details of the consent process in order to be able to reconstruct the discussions and the thinking that led to a particular course of treatment in the event of a challenge at a later stage – possibly years later. Risk Assessment The patient’s open agreement to proceed with the investigation or treatment proposed after full discussion and the patient’s receipt of sufficient information is sometimes called ‘informed consent’.
Fig. 16 Arthritis. Fig. 19 Subconjunctival haemorrhage associated with zygomatic fracture. Fig. 17 Lichen planus nail deformity. Hirsutism is a feature of adrenogenital syndrome or Cushing disease, or may be caused by ciclosporin, corticosteroids, minoxidil, phenytoin or androgenic steroids. The face may be unusual in many syndromes, such as Down syndrome or mucopolysaccharidoses. It may exhibit bruising from trauma (Fig. 19) or purpura; cushingoid facies due to Cushing disease or corticosteroid treatment; and a mask-like facies in scleroderma.
Fig. 13 Gouty tophi. Fig. 14 Salivary gland swelling. other conditions causing restricted mouth-opening (trismus) discussed in Chapter 4. Inspection of the major salivary glands may reveal swelling of the parotid gland, which causes outward deflection of the lower part of the ear lobe, best observed by looking at the patient from behind (Fig. 14). Examination of the neck is crucial. The patient should be observed from the front but also the neck should be palpated, as swollen lymph nodes are sometimes a sign of disease (Fig.