General Medicine (Systemic Diseases)
General Medicine (Systemic Diseases) - Year 3
Chapters
1. Foundations of Medicine for Dentists
1 topics1.1 Why systemic disease matters in dentistry (risk, diagnosis, treatment modification); 1.2 Medical history-taking structure (CC, HPI, PMH, PSH, DHx, allergies, SHx); 1.3 Drug history essentials (prescribed/OTC/herbal; adherence; adverse reactions); 1.4 Allergy and adverse drug reaction differentiation (true allergy vs side effects); 1.5 Baseline observations in dental settings (BP, pulse, SpO?, temp — intro); 1.6 ASA classification concept and fitness for dental care (intro); 1.7 Consent and d
2. Common Medical Investigations (Dentist-Relevant Interpretation)
6 topics2.1 CBC basics: anemia, infection markers, platelet count relevance
2.2 Blood glucose (FBS/RBS/HbA1c) relevance to infection and healing
2.3 Coagulation profile: PT/INR, aPTT (bleeding risk relevance)
2.4 Renal function: urea/creatinine/eGFR (drug dosing relevance)
2.5 Liver function tests (LFTs): metabolism and bleeding relevance (intro)
2.6 ECG awareness (basic) and when it matters for dental care (intro)
3. Cardiovascular Diseases and Dentistry
10 topics3.1 Hypertension: diagnosis thresholds concept; dental implications
3.10 Stroke/TIA history: risk assessment and dental planning basics
3.2 Ischemic heart disease: angina vs MI history; stable vs unstable (risk stratification)
3.3 Heart failure: symptoms, severity cues, chair position and stress reduction (intro)
3.4 Arrhythmias: AF awareness; pacemakers/ICDs (intro)
3.5 Valvular heart disease and murmurs: significance and referral awareness
3.6 Antiplatelet therapy: aspirin/clopidogrel—bleeding considerations (principles)
3.7 Anticoagulants: warfarin (INR concept) and DOACs awareness—dental planning principles
3.8 Infective endocarditis: risk concept and antibiotic prophylaxis awareness (local guideline-based)
3.9 Local anaesthetic with vasoconstrictor: indications, cautions, dose concepts (intro)
4. Respiratory Diseases and Dentistry
5 topics4.1 Asthma: triggers, inhaler use, dental appointment planning (intro)
4.2 COPD: oxygenation issues, chair position, short appointments (intro)
4.3 Acute respiratory infections: when to postpone elective care
4.4 Tuberculosis awareness: screening questions and referral/infection control (intro)
4.5 Obstructive sleep apnea (OSA) awareness and dental relevance (intro)
5. Endocrine Disorders and Dentistry
4 topics5.1 Diabetes mellitus: types, symptoms, complications relevant to dentistry; 5.2 Glycemic control markers: HbA1c concept; dental timing principles; 5.3 Diabetic complications: infection risk, delayed healing, periodontal link (intro); 5.4 Hypoglycemia recognition and prevention during appointments (risk factors, meal timing)
5.5 Thyroid disorders: hyper vs hypo—clinical clues and dental considerations
5.6 Adrenal disorders awareness (intro): steroid therapy and stress dosing concept (basic)
5.7 Pregnancy physiology (intro) and dental implications: trimester planning, supine hypotension awareness.
6. Hematology and Bleeding Disorders
7 topics6.1 Anemia types overview: iron deficiency vs B12/folate (clinical cues)
6.2 Thrombocytopenia: bleeding risk concept and dental caution
6.3 Hemophilia and inherited bleeding disorders: referral-based management principles
6.4 von Willebrand disease awareness (intro)
6.5 Leukemia/lymphoma awareness: oral signs (gingival enlargement, infections)
6.6 Anticoagulants/antiplatelets recap: bleeding risk assessment and local protocol awareness
6.7 Local hemostatic measures (overview): pressure, sutures, local agents awareness
7. Renal Disease and Dentistry
1 topics7.1 Chronic kidney disease: key features and complications (intro); 7.2 Dialysis: scheduling considerations and infection risk awareness; 7.3 Drug dosing implications: renally excreted drugs awareness (intro); 7.4 Bleeding tendency and anemia in CKD (intro); 7.5 Transplant patients awareness: immunosuppression implications (intro)
8. Liver Disease and Dentistry
5 topics8.1 Hepatitis (B/C) overview: transmission, screening questions, standard precautions
8.2 Cirrhosis: bleeding risk and drug metabolism implications (intro)
8.3 LFT relevance (intro) and when to request medical advice
8.4 Analgesics and liver disease: paracetamol caution concepts (jurisdiction-aware)
8.5 Alcohol use disorder: oral effects and dental management considerations (intro)
9. Infectious Diseases of Dental Importance
5 topics9.1 Blood-borne viruses: HBV, HCV, HIV—standard precautions and stigma-free care
9.2 HIV basics: oral manifestations awareness (candidiasis, ulcers) and referral principles
9.3 Post-exposure protocols awareness (needle stick injuries—intro)
9.4 Infective endocarditis recap: bacteremia risk procedures concept (intro)
9.5 Vaccination awareness for healthcare workers (intro; policy-dependent)
10. Neurologic Disorders and Dentistry
5 topics10.1 Epilepsy: triggers, medication effects (gingival enlargement awareness), appointment planning
10.2 Stroke/TIA: deficits, aspiration risk awareness, consent capacity considerations (intro)
10.3 Parkinson’s disease: tremor, drooling, oral hygiene challenges (intro)
10.4 Dementia/cognitive impairment: communication, consent, caregiver involvement (intro)
10.5 Trigeminal neuralgia awareness: pain characteristics and referral principles (intro)
11. Gastrointestinal Disorders and Dentistry
4 topics11.1 GERD: dental erosion link; management advice awareness (intro)
11.2 Peptic ulcer disease: NSAID cautions (intro)
11.3 Inflammatory bowel disease: aphthous ulcers awareness; anaemia link (intro)
11.4 Liver-related GI issues cross-link (portal HTN awareness - intro)
12. Rheumatology and Musculoskeletal Disorders
5 topics12.1 Rheumatoid arthritis: TMJ involvement awareness; dexterity issues for OH
12.2 Osteoarthritis: common features; chair positioning considerations (intro)
12.3 Ankylosing spondylitis awareness: posture limitations (intro)
12.4 Bisphosphonates/anti-resorptives awareness (intro): oral implications and referral-based planning
12.5 Chronic pain syndromes awareness (intro) and medication considerations
13. Dermatology and Oral Mucosal Relevance (Medical Angle)
4 topics13.1 Common skin disease–oral links awareness (psoriasis, eczema—intro)
13.2 Autoimmune blistering diseases awareness: pemphigus/pemphigoid (intro)
13.3 Erythema multiforme/Stevens–Johnson awareness (red flags)
13.4 Angioedema awareness: triggers and emergency significance
14. Oncology and Immunosuppression (Dentist-Relevant)
5 topics14.1 Cancer therapy basics: chemotherapy, radiotherapy, immunotherapy awareness
14.2 Neutropenia and thrombocytopenia: infection/bleeding risk in dental care (intro)
14.3 Head and neck radiotherapy: xerostomia, caries risk, ORN awareness (intro)
14.4 Immunosuppressive drugs: steroids, transplant meds—oral infection risk (intro)
14.5 Antibiotic prophylaxis concepts in immunocompromised patients (intro; specialist-guided)
15. Psychiatric Conditions and Dental Considerations
5 topics15.1 Anxiety and dental phobia: medical and behavioural relevance (intro)
15.2 Depression: medications and xerostomia/bruxism links (intro)
15.3 Antidepressants/antipsychotics: side effects relevant to dentistry (xerostomia, dyskinesia awareness)
15.4 Substance use disorders: tobacco, alcohol, stimulants awareness (intro)
15.5 Consent and capacity principles (intro)
16. Common Medications and Dental Drug Interactions (Core)
7 topics16.1 Analgesics: paracetamol, NSAIDs—contraindications and cautions (as per local policy)
16.2 Antibiotics: penicillins, metronidazole, macrolides—common indications and cautions (intro)
16.3 Anticoagulants/antiplatelets: interaction risks and bleeding implications (overview)
16.4 Steroids: adrenal suppression concept and infection risk (intro)
16.5 Bronchodilators/inhaled steroids: oral candidiasis risk and prevention (rinse advice)
16.6 Calcium channel blockers/phenytoin/ciclosporin: gingival enlargement (link to perio)
16.7 Allergy management basics: recognizing allergy vs intolerance (intro)
17. Medical Clearance, Treatment Modification, and Referral
6 topics17.1 When to request medical consultation (unstable disease, unclear meds, bleeding risk)
17.2 Appointment planning: stress reduction protocol (short morning visits, pain control)
17.3 Surgical vs non-surgical dental care considerations (bleeding/infection risk concept)
17.4 Antibiotic stewardship principles (avoid unnecessary prescribing)
17.5 Post-op instructions tailored to medically compromised patients (intro)
17.6 Emergency preparedness linkage (to Medical Emergencies module)