https://padlet.com/victoriastojsav17/260us3bvodst Neurological and endocrine disorders en-us 2019-03-15 16:35:06 UTC 2019-03-22 01:57:15 UTC hello@padlet.com victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/341860315 Sudden uncontrolled discharge or neurons in the brain producing changes in brain function often resulting in convulsion]]> 2019-03-15 17:20:11 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/341860315 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/341861026

Generalized

• When hyper excited neurons fire generally throughout the brain

Focal/partial

• Consciousness is not lost

Unknown origin 

]]> 2019-03-15 17:21:42 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/341861026 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/341861439 Chronic seizure episodes with unknown cause 

]]> 2019-03-15 17:22:41 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/341861439 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/341862591

Loss of consciousness

Muscular contraction (tonic) with rigidity followed by intermittent muscular contraction and relaxation (clonic)

Pale or blue in colour- may stop breathing

Possible incontinence 

Foamy saliva

May bite tongue

When recovered, may be confused, tired and complain of muscle soreness or injury 

May move onto status epilepticus 

]]> 2019-03-15 17:25:09 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/341862591 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/341864689

Abrupt loss of consciousness

Common in children

Blank stare, do not fall but may drop what is being held

Pale

Rhythmic twitching or eyelids, eyebrows or head

Recovers normal, unaware of occurence

Ends abruptly 

]]> 2019-03-15 17:28:49 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/341864689 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/341865951

Genetic

Unknown

Structural/metabolic

Congenital conditions- rubella

Perinatal injuries

Brain Tumor

Stroke

Trauma

Infection (meningitis, encephalitis)

Degenerative brain disease (Alzheimer's)

Lead exposure

Alcoholism and drug addictions

Complications from cancer 

]]> 2019-03-15 17:31:39 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/341865951 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/342926582

Stress

Tired

Sensory stimuli

Alcohol or addictive drug withdrawal

Fever- febrile seizures 

Menstruation

Exercise

Trauma

Neonatal conditions

Lack of homeostasis 

]]> 2019-03-19 15:40:25 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/342926582 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/342927658

Altered consciousness

Prodrome premonition of seizure

Aura- sensation (numbness, tingling, twitching, muscle stiffness) that seizure is eminent

Seek a safe place for client 

Client may know and ask for help to prepare

]]> 2019-03-19 15:42:05 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/342927658 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/342928853

Medications (anticonvusants, anti-seizure, Phenobarbital, tegretol, dilantin, Topamax)

Some medications cause gingival hyperplasia 

]]> 2019-03-19 15:43:52 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/342928853 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/342930290

Be prepared

Reduce stress

Complete medical history including primary physicians contact information

Contact MD if unable to acquire information from client 

Ensure patient takes medication when prescribed

Ask when last seizure occured

Ask if any triggers for seizures

Fractured teeth

Consider pit and fissure sealants

Diet counselling

]]> 2019-03-19 15:45:59 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/342930290 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/342932812 Young vs old
Posterior vs anterior
Facial/lingual vs proximal
Biofilm vs calculus
Mouth breathing
Overhangs & defective margins
Fibrotic vs non-fibrotic
Stress importance of OHC and regular hygiene appointments

]]> 2019-03-19 15:49:45 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/342932812 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/342956522

Terminate therapy

Do not restrain client

Lower chair & place in supine position

Protect from injury

Do not place anything in clients mouth

Provide basic life support- establish airway, suction vomit, place in recovery position

Monitor vitals

If duration is longer than 5 mins, call EMS

]]> 2019-03-19 16:30:46 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/342956522 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/342960867 Blockage of blood flow through cerebral blood vessels
Lack of oxygen to cerebral tissue leads to neuron cell death and injury ]]> 2019-03-19 16:38:39 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/342960867 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/342964611 Due to build up in arteries (most common)]]> 2019-03-19 16:45:23 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/342964611 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/342973364 Blood vessel breaks in brain 

]]> 2019-03-19 17:00:22 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/342973364 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/342974211

Damage in control area of brain

• Paralysis on opposite side of body (motor neuron paths cross in cerebrum) 

Hemiplegia: paralysis on one side of body

]]> 2019-03-19 17:02:00 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/342974211 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/342987029 Previous TIA
HBP
Diabetes
Smoker
Obese
Physically inactive ]]> 2019-03-19 17:23:37 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/342987029 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/342987735 Sudden unilaterla weakness, numbness, paralysis
Aphasia  (difficulty speaking)
Pupils- unequal size
Hemorrhagic stroke : severe headache, nausea, vomiting loss of consciousness ]]> 2019-03-19 17:24:36 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/342987735 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/342988718 Face dropping
Arm Weakness
Speech difficulty
Time to call]]> 2019-03-19 17:26:18 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/342988718 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/342989026

No appointments within 6 months of episode

Stress reduction

Record vitals

Assess bleeding- anticoagulant (INR)

Minimize anesthetic with vasoconstrictors

No epinephrine 

Medications may cause cough, loss of taste and burning sensation- scalded mouth syndrome 

Loss/difficulty speaking

Unilateral paralysis

Loss of sensory stimuli of oral tissues

Flaccid tongue

Tongue deviates on extrusion

Gingival overgrowth due to medication

Xerostomia

Regular maintenance

Assistance  to maintain oral health

]]> 2019-03-19 17:26:47 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/342989026 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343001173 Brain damage that  occurs just before, during or soon after birth
Physical trauma to brain resulting  
inneuron damage
Motor dysfunction
Not progressive]]> 2019-03-19 17:46:57 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343001173 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343002277

3 times more likely to have periodontal disease & gingivitis

Increased dental erosion

Self-injurious behavior- falls, bruxing, biting tongue/cheek/lip

Generally have malocclusion- abnormal tongue & muscle movement

Gingival hyperplasia- anticonvulsants

Gag reflex problem- chair positioning 

Include caregiver for OHC

Fluoride- chlorhexidine

Use bite block

Impaired motor ability

Impaired muscles of head and neck

]]> 2019-03-19 17:48:40 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343002277 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343005368 Many conditions involving peripheral nerves involve inflammation 
Neuritis
Neuralgia
Sciatica
Trigeminal Nerualgia/ Tic Douloureux ]]> 2019-03-19 17:53:30 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343005368 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343006318

Compression or degeneration of the 5th cranial nerve

Recurring episodes of stabbing pain radiating along the branch of the trigeminal nerve

Can involve any or all branches 

]]> 2019-03-19 17:55:05 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343006318 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343007163

Compression, degeneration or infection of the 7th cranial nerve (facial)

Paralysis of some or all of the facial features innervated by the facial nerves including eyelids and mouth

Temporary 

]]> 2019-03-19 17:56:27 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343007163 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343008014

Viral infection

Reactivation of varicella (chickenpox)

Virus travels through cutaneous nerve and remains dormant in the root ganglion

If imune system is compromised, the virus may reactivate

Virus travels through sensory nerve to the skin

Painful vesicles erupt and crust over

Intense pain, burning and itching may precede vesicles

Vaccination

]]> 2019-03-19 17:57:53 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343008014 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343102334 Uses chemical messengers called hormones as a means of controlling the flow of information between different cells and tissues ]]> 2019-03-19 21:59:49 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343102334 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343102567

Glands

• produce, store and secrete chemical messengers

Chemical messengers

•  hormones

Target cells/organs

• cells acted on by hormones

]]> 2019-03-19 22:01:09 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343102567 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343102922 Secrete their products into ducts that empty onto a surface or into a cavity (swat glands & salivary glands)]]> 2019-03-19 22:02:31 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343102922 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343103131

Ductless glands that secrete into intercellular spaces.

Move into blood stream or lymphatic system and then carried throughout thebody and target organ cell

]]> 2019-03-19 22:03:45 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343103131 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343103326

Regulate digestion

Storage & use of nutrients

Electrolyte & water metabolism

Growth & development

Reproduction

Synthesis, storage & secretion of hormones

]]> 2019-03-19 22:04:50 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343103326 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343104346

Under regulatory control of other parts of the system

Hypothalamus & pituitary gland form a complex network that links the nervous and endocrine systems 

This network controls the output from many of the other glands in the body 

]]> 2019-03-19 22:11:10 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343104346 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343105073

Maintains homeostasis

Coordinating center of the brain for endocrine, behavioural and autonomic nervous system function

Viewed as a bridge by which signals from multiple systems are relayed to the pituitary gland

Helps control behavious and allows appropriate responses to multiple incoming stumuli from the CNS and PNS- hunger, temperate,  pleasure & pain

]]> 2019-03-19 22:15:16 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343105073 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343105722

Master gland controls the functions of many target glands and cells of target organs 

Receives hormones from hypothalamus & responds to these hormones by releasing its own hormones that stimulate various glands or produces an effect on other endocrine glands 

Stimulates growth

Stimulates the synthesis & secretion of adrenal, thyroid , kidney & reproductive hormones

Thyroid stimulating hormone, adrenocorticotropic hormone, follicle-stimulating hormone, luteinizing hormone, growth hormone, prolactin, antidiuretic hormone, oxytocin

]]> 2019-03-19 22:18:20 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343105722 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343107174

2 parts- cortex & medulla

Cortex releases corticosteroid hormones which help maintain glucose levels, sodium & potassium balance and sex hormones

Glucocorticoids (cortisol), mineralocorticoids, sex hormones (androgens)

Medulla helps combat physical & emotional stress- epinephrine and norepinephrine 

]]> 2019-03-19 22:25:38 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343107174 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343135018

Produces thymosin

Plays important role in the development and function of the body's immune system 

]]> 2019-03-20 01:10:24 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343135018 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343140135

Produces hormones that control how the bdy uses energy & proteins

Thyroxine, triiodonthronin calcitonin

Plays a part in growth and development 

Affects blood calcium and phosphate levels 

]]> 2019-03-20 01:32:15 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343140135 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343140576

Produces parathyroid hormone

Increases blood calcium concentration by increasing the breakdown of bone with the release of calcium into the blood 

]]> 2019-03-20 01:34:16 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343140576 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343141005

Called the third eye b/c of its secretory activity on the amount of light entering the eyes

Secretes melatonin which inhibits ovarian activity and regulates the body's internal clock

Abnormal secretion of melatonin may produce SAD

]]> 2019-03-20 01:36:12 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343141005 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343145586 Negative feedback loop
Endocrine gland releases hormones that affect the target organ, the target organ then signals the endocrine gland to adjust the relsease of hormones]]> 2019-03-20 01:53:05 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343145586 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343359933 A positive feedback loop is rare & would request the increase of the release of hormones]]> 2019-03-20 14:44:17 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343359933 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343360398

Thyroid Hormone

• Made in thyroid gland, stimulates metabolic rate

Gllucocorticoids

• Made in adrenal gland, effects are essential in times of trauma & stress 

Growth Hormone

• Made in pituitary
• stimulated growth/remodelling  of bone, cartilage & protein synthesis
• Causes breakdown of fats & use of energy
• Induces sensitivity to insulin

Gonadotropins

• Causes ovary to secrete estrogen & progesterone which results in ovulation
• Made in hypothalamus 

Antidiuretic (vasopressin)

• Made in hypothalamus 
• Increases blood pressure by causing smooth muscle contraction &peripheral resistence
• Stimulus for release is decreased blood pressure & exercise 

Oxytocin

• Made in hypothalamus 
• Relseased by posterior pituitary
• May initiate labour

]]> 2019-03-20 14:45:02 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343360398 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343364043

Tissue Hormones

• Powerful substances found in a wide variety of body tissues
• Produced in a tissue & diffuse only a short distance to act on cells in that tissue
• Influence many body functions, including respiration, blood pressure, GI secretions and reproduction 

]]> 2019-03-20 14:50:39 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343364043 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343366934

Hypo or hyper function

Defect in hormone production

Defect in hypothalamus or pituitary systems  that controls a glands function

Defect in target organ/receptor/cell

Can affect oral health status through host response to infection, healing & stress

]]> 2019-03-20 14:54:48 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343366934 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343367996

Underactive

Low levels of thyroxin

Caused by problem with thyroid, hypothalamus or pituitary gland

Predilection for women

Develops slowly over time 

]]> 2019-03-20 14:56:23 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343367996 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343369711

Autoimmune thyroiditis

Antibody destruction of thyroid tissue resulting in decreased thyroid hormone production

Results in faulty negative feedback loop

Pituitary produces more TSH b/c of the decreased thyroxin-> enlarged thyroid gland

]]> 2019-03-20 14:59:04 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343369711 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343370862

Sluggish, slow thinking

Bradycardia, enlarged heart

Weight gain

Dry skin

Depression 

]]> 2019-03-20 15:00:52 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343370862 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343371545

Replace hormone

Replace iodide

Remove cause- tumor

]]> 2019-03-20 15:01:56 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343371545 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343372351

Thorough medical history

Uncontrolled? Medication?

Macroglossia

Increased rate of periodontal disease & caries

Poorly formed teeth

Burning mouth syndrome

Xerostomia

Lichen planus

Oral candidiasis

Increased bleeding

OHC

Fluoride treatment

Regular maintenance 

]]> 2019-03-20 15:03:11 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343372351 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343373938 Overactive
Excess thyroxin
Dysfunction of thyroid, pituitary or hypothalamus
Taking too uch thyroid medication
Endocrine gland malfunction will distate which hormones are affected & in which rati]]> 2019-03-20 15:05:44 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343373938 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343374974

Autoimmune

Body produces antibodies that increases production of the thyroid hormone

Not effected by the negative feedback loop

Overstimulation & excess production causes thyroid to swell

]]> 2019-03-20 15:07:20 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343374974 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343375815

Increased heart rate & palpitations

Increased irritability

Increased metabolism 

Intolerance to heat

Increased hunger & weight loss

Bulging of eyes

Fatigue

Enlargement of thyroid- goiter

]]> 2019-03-20 15:08:41 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343375815 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343376667

Medication that alters production of thyroxin hormone

Medications to regulate heart rate

Medication & surgery to destroy or remove thyroid tissue

If thyroid is removed or destroyed, patient will then have hypothyroidism & need artificial thyroxin 

]]> 2019-03-20 15:10:06 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343376667 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343377699

Thyroid storm

• Profuse sweating, nausea, abdominal pain, tachycardia, disorientation, agitation
• Life threatening- terminate treatment, supine, basic life support and activate EMS

Acute anxiety

Increase in periodontal disease & caries

Increased in osteoporosis of alveolar bone 

Difficulty swallowing 

Increased risk of connective tissue disease like Sjrogens & lupus

]]> 2019-03-20 15:11:41 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343377699 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343384353

Short appointments to manage stress

Frequent breaks

Diet modifications

Regular maintenance

Flouride therapy 

]]> 2019-03-20 15:22:17 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343384353 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343385802

Gland embedded in thyroid gland

Parathyroid hormone is produces here, controls calcium, phosphorus & vitamin D in blood &bones

Disorders occur when parathyroid is removed accidentally with thyroidectomy 

]]> 2019-03-20 15:24:33 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343385802 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343586993

Too much PTH

Bone pain

Fatigue

Broken bones

Kidney stones 

]]> 2019-03-21 00:29:41 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343586993 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343587798

Too little PTH

Brittle nails, dry hair, muscle cramps and spasms

Abdominal pain

Increased muscular & nerve irritability 

]]> 2019-03-21 00:34:13 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343587798 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343589695

Congenitally missing teeth

Shortened roots

Delay or cessation of dental development

Enamel hypoplasia

Poorly calcified dentin

Wide pulp chambers

Mandibular tori

Chronic candidiasis 

]]> 2019-03-21 00:43:34 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343589695 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343590040

Alveolar bone loss

Spontaneous mandibular fracture

Widened pulp chambers

Demineralized teeth

Increased risk of osteoporosis 

]]> 2019-03-21 00:45:09 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343590040 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343592622

Decrease in glucocorticoids

Dysfunction in adrenal gland (primary), hypothalamus or pituitary, chronic corticosteroid (all secondary)

]]> 2019-03-21 00:58:23 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343592622 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343595839

Autoimmune

May be a result of TB

Secondary adrenal insufficiency as a result of hypopituitarism or hypothalamic dysfunction or corticosteroid use 

]]> 2019-03-21 01:15:48 UTC https://padlet.com/victoriastojsav17/260us3bvodst/wish/343595839 victoriastojsav17 https://padlet.com/victoriastojsav17/260us3bvodst/wish/343596315

Depression

Severe chronic fatigue

Weight loss

Hyperpigmentation

Sparse body hair

Orthostatic hypotension

Lethargy, weakness

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Glucocorticoid replacement

Aldosterone replacement (primary)

Medications can delay wound healing, increase capillary fragility & alveolar bone loss

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Short, early appointments

Empathy to reduce stress

Fluoride- xerostomia

Strict oral care routine

Frequent RDH care- increased periondtal disease and bone loss

Radiographs to monitor bone levels

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Failure of pituitary gland to produce & release one or all of its hormones

Decreased growth hormone= dwarfism 

Reduction in growth potential in children 

Change in metabolic function in children & adults

Short stature

Delayed tooth eruption, thin hair

Delayed puberty 

Treatment

• Give growth hormone regularly to children

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Macrognathia

Prognathism

Open bite

Large pulp chambers

Increased risk of periodontal disease

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Excess secretion of hormones

Excess growth hormone= gigantism

Disease of excess longitudinal growth of bones due to excess GH before puberty

Large hands

Prominent jaw

Treatment

• Medications to reduce or block GH rels

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Changes in face & jaw may result

Sleep apnea, dry mouth

Modifying oral hygiene

Fluoride 

Orthodontic referral

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