Monday 28 October 2013

Hand, Foot and Mouth Disease (Enteroviral Vesicular Stomatitis With Exanthem)

What is hand, foot and mouth disease?
Hand, foot and mouth disease is a mild viral illness that can occur at any age, occurring most often in children younger than 10. The disease is characterized by vesicles (small blisters that contain clear fluid) inside the mouth, on the gums and on the side of the tongue. On rare occasions, people with the virus that causes hand, foot and mouth disease may develop viral meningitis. Infants who develop blisters in the mounth may stop nursing and become dehydrated. Most cases of hand, foot and mouth disease occur in summer and fall.

Who is at risk for hand, foot and mouth disease?
Everyone is at risk for hand, foot and mouth disease, but it usually occurs in children younger than 10. Not everyone who is infected becomes ill.

What are the symptoms of hand, foot and mouth disease?
Hand, foot and mouth disease begins with a sore throat and a mild fever that can last from one to three days. Blisters form on the inside of the mouth, usually on the cheek, gums and the side of the tongue. Blisters later appear on the feet and the hands and occasionally on the buttocks and may persist for seven to 10 days.

How soon do symptoms appear?
Symptoms usually appear three to six days after exposure.

How is hand, foot and mouth disease spread?
The disease is spread by contact with nose and throat discharges and feces of infected people.

When and for how long is a person able to spread the disease?
A person with hand, foot and mouth disease can transmit the virus through nose and throat discharges and feces during the acute stage of the illness. The virus can continue to be transmitted in the feces perhaps as long as several weeks after the onset of infection when a person has no apparent illness.



How is a person diagnosed?
A health-care provider can diagnose hand, foot and mouth disease. Laboratory tests usually are not needed to diagnose hand, foot and mouth disease.

Sunday 27 October 2013

Basic periodontal examination/ CPITN

0
No pockets >3.5 mm, no calculus/overhangs, no bleeding after probing (black band completely visible)
1
No pockets >3.5 mm, no calculus/overhangs, but bleeding after probing (black band completely visible)
2
No pockets >3.5 mm, but supra- or subgingival calculus/overhangs (black band completely visible)
3
Probing depth 3.5-5.5 mm (black band partially visible, indicating pocket of 4-5 mm)
4
Probing depth >5.5 mm (black band entirely within the pocket, indicating pocket of 6 mm or more)
*
Furcation involvement

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