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Objectives

  • Recognize the clinical presentation of common systemic conditions and medical emergencies.
  • Appreciate concepts of medical management and suggested dental modifications.
  • To understand the physical evaluation and laboratory tests used to evaluate specific disease states of special interest to the dentist.
  • Recognize and interpret common clinical laboratory tests and medical therapeutics associated with the common systemic conditions.
  • Understand the deviations from normal.
  • Identify the need for further investigation.
  • Help in the transition of the student from the preclinical to the clinical setting by participating in case study workshops and dealing with common clinical laboratory tests.
  • Determine the patient's chief complaint.
  • Elicit a chronological account of the patient's problem.
  • Obtain and evaluate the significant aspects of the patient's prior medical hsitory and experience.
  • Elicit a personal, social and family history from the patient, including marital status, occupation, habits, and behavioral status.
  • Determine and record the physiologic and behavioral status of the patient.
  • Perform a systemic and complete examination of the head and neck area, chest, and extremities.
  • Recognize and describe the deviations from normal and identify the need for further investigation.
  • Select and use appropriate aids or consultations, and properly interpret the results obtained.
  • Understand and apply the basic priciples of common physiologic diagnostic tests (including blood pressure recording, pulse rate, temperature, respiratory rate, TMJ palpation and auscultations, and transillumination).
  • Understand and apply the basic principles of the common clinical laboratory tests including bleeding time, platelet count, PT, PTT, INR, CBC, blood glucose, serum alkaline phosphatase, serum calcium and phosphate, A/g ratio, urine protein, urea, sugar, hemoglobin, and hemocrit.
  • Establish a working diagnosis based on a differential diagnosis by use of appropriate examination and testing methods.

1. Grading

  • Medicine Lecture Series (Medicine IIA):
    • Two examinations, each worth 30% towards the final grade.
  • Medical Practicum (Medicine IIB):
    • One exam at end worth 40% towards the final grade.

2. Recommended Reading

  • The Merck Manual of Diagnosis and Therapy. Rahway, NJ: Merck, 1999.
  • Rose, Louis F. and Donald Kaye. Internal Medicine for Dentistry. St. Louis: Mosby Publishing, 1990.
  • Kelly, William N., editor-in-chief, DeVita, Vincent T., Jr. ed....et.al. Textbook of Internal Medicine. Philadelphia: Lippincott; c1992.