[...]... 4.5-6.5 million/mm3 3.8-5.8 million/mm3 4.5-6.5 x1 012 /l 3.8-5.8 x1 012 /l 40-54 ml/dl 37-47 ml/dl 80-90 urn3 27-32 pg/cell 31- 36.5 g/dl 4500 -11 000 /mm3 0.40-0.54 0.37-0.47 80-97 fl 27-32 pg/cell 31- 36.5g/l 4.0 -1 1.0 x109/l 2.0-7.5 x109/l 1 5-4.0 x109/l 0.2 -1. 2x109/l 0.04-0.40 x109/l 1 50-400 x109/l 0-8 mm/h 2000-7500/mm3 15 00-4000/mm3 200 -1 200/mm3 40-400/mm3 0-8 mm/h Every laboratory has its own reference... volume, adults (MCV) Mean cell haemoglobin, adults (MCH) Mean cell haemoglobin concentration, adults (MCHC) White cell count, adults (leucocytes; WBC) Neutrophils Lymphocytes Monocytes Eosinophils Platelets, adults (PLT) Erythrocyte sedimentation rate, adults (ESR) SI units 13 .0 -1 8.0 g/dl 11 .5 -16 .5g/dl 8 .1- 11. 2mmol/l 7.4-9.9 mmol/l 4.5-6.5 million/mm3 3.8-5.8 million/mm3 4.5-6.5 x1 012 /l 3.8-5.8 x1 012 /l... off what you know Assessing patients 1. 1 History 3 1. 2 Extra -oral examination 4 1. 3 Intra -oral examination 6 1. 4 Special investigations 8 1. 5 Writing a referral letter 12 Overview This chapter describes the basic principles of assessing a dental patient A history should include significant medical and social facts as well as the dental problem An initial extra -oral give essential clues to the nature... cover Vancomycin 1 g intravenous over at least 10 0 minutes then intravenous gentamycin 12 0 mg at induction or 15 minutes before procedure Or teicoplanin 400 mg and gentamycin 12 0 mg both intravenous at induction or 15 minutes before procedure Or clindamycin 300 mg intravenous over at least 10 minutes at induction or 15 minutes before procedure then oral or intravenous clindamycin 15 0 mg 6 hours later... patient condition symmetry swellings lips/perioral tissues Palpation would cover: • • • • lymph nodes temporomandibular joint (TMJ) salivary glands problem-specific examination Lymph node examination The major lymph nodes of the maxillofacial region and neck are shown Figure 1 The submental, submandibular and the internal jugular nodes (jugulo-digastric and jugulo-omohyoid node being the largest) are... a logical and concise way and used illustrations where appropriate to help understanding Principles of diagnosis and management are explained rather than stated and where there is controversy, this is described The contents cover the broad areas of subjects of relevance to oral surgery, oral medicine, oral pathology and radiology but are approached by subject area rather than by clinical discipline... urticaria, especially hands and feet • wheezing and difficulty in breathing • rapid weak pulse These may develop over 15 to 30 minutes following the oral administration of a drug or rapidly over a few minutes following i.v drug administration Clinical box First-line treatment of anaphylactic shock Lay patient flat and raise feet Give oxygen Give 0.5 ml epinephrine (adrenaline) 1 mg/ml (1 in 10 00) intramuscular... the traditional subject areas of oral surgery, oral medicine, oral pathology and radiology to help readers to organise their knowledge in a useful way to solve clinical problems We believe that this core text of knowledge is essential reading for university final examination success and will also be of help to graduates undertaking vocational training, their trainers and those preparing for postgraduate... in dentistry and oral and maxillofacial surgery Because X-ray exposure carries a quantifiable risk (see Ch 15 ), X-ray examinations should be selected according to specific selection (referral) criteria Other imaging investigations not using ionising radiations (ultrasound and magnetic resonance imaging) have their place and should be used in preference to X-ray techniques (radiography and computed... previous month: oral clindamycin 600 mg 1 hour before procedure Or patients who have had endocarditis: amoxicillin and gentamycin, as under general anaesthesia General anaesthesia: no special risk Amoxicillin 1 g intravenous at induction, then oral amoxicillin 500 mg 6 hours later Or oral amoxicillin 3 g 4 hours before induction then oral amoxicillin 3 g as soon as possible after procedure Or oral amoxicillin . fl 27-32 pg/cell 31- 36.5g/l 4.0 -1 1. 0 x10 9 /l 2.0-7.5 x10 9 /l 1. 5-4.0 x10 9 /l 0.2 -1. 2x10 9 /l 0.04-0.40 x10 9 /l 1 50-400 x10 9 /l 0-8 mm/h Every . SYDNEY TORONTO 2003 MASTER DENTISTRY Oral and Maxillofacial Surgery Oral and Maxillofacial Surgery, Radiology, Pathology and Oral Medicine CHURCHILL LIVINGSTONE An