Medicine II

Academic Year 2005/2006

Medical training for the dental student. (www.nyc.gov)

This course, year two of a three year medical course, provides the dental student with a more in-depth understanding of the pathology of the bodily systems with special emphasis on the oral cavity in lectures given by specialists.

Medicine II is the second in a series of three courses that provides medical instruction for the dental student.

This course teaches the student to evaluate systemic health problems and appropriately apply the knowledge in a future clinical setting.   Topics covered are Hepatitis/Cirrhosis, HIV/AIDS, Pulmonary, Hematology, Coagulation, Otolaryngology, Pregnancy, LFT's, Hepatic Serology, Medical Emergencies, Endocrinology, Immunology, Oncology, Cardiology, Transplants, Gastroenterology, Rheumatology, Renal, and Hypertension.

The practicum provides the student with supervised practical application of previously studied theory. This allows the student to assess the level of compromise in the history and physical examination of a medically compromised patient.  The student can then modify the dental care appropriately.

• Management of the Medically Compromised Dental Patient - Part I
• Diabetes Mellitus: Pathophysiology
• Management of the Medically Compromised Dental Patient - Part III
• Diabetes Mellitus: Signs and Symptoms
• Management of the Medically Compromised Dental Patient - Part II

  Syllabus

  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.

    Calendar

    Session	Type	Title
    1	Lecture	Hypertension and Kidney Disease
    2	Lecture	Immunology-the Hypersensitivity Disorder
    3	Lecture	Hematology
    4	Lecture	Oncology
    5	Lecture	Intimate Partner Violence: a Dental & Public Health Problem
    6	Lecture	Cardiology Overview
    7	Lecture	Cardiology and Rheumatic Fever
    8	Lecture	Case Studies and Laboratory Tests Evaluation Workshop 1: Coagulation/Lab Tests
    9	Lecture	Hematology/Oncology
    10	Lecture	Gastrointestinal Diseases
    11	Lecture	Pulmonary Disease and Dentistry
    12	Lecture	Rheumatology
    13	Lecture	Pharmacology: Cardiovascular and Respiratory Drugs
    14	Lecture	Pharmacology: Diabetes and Gastrointestinal Drugs
    15	Lecture	Hepatitis/Cirrhosis
    16	Lecture	Behavioral Medicine in Dentistry
    17	Lecture	Endocrinology Basics for Dental Students
    18	Lecture	Medical Emergencies in the Dental Office
    19	Lecture	Liver and Kidney Transplantation
    20	Lecture	Otolaryngology - Head and Neck Surgery
    21	Lecture	Dental Care and Pregnancy
    22	Lecture	Case Studies and Laboratory Tests Evaluation Workshop 2: Hepatic Serology
    23	Lecture	HIV Infection/AIDS: Epidemiology, Natural History, Clinical Presentation
    24	Lecture	Management of the Medically Compromised Dental Patient