The Diagnostic Process : a systematic collection of dataleading to identification of disease

I. Taking & Recording of Patient’s History

II. Examination

III. Provisional Diagnosis

IV. Investigations

V. Final Diagnosis

THE DIAGNOSTIC PROCESS

II. Examination

A. General

B. Extra-oral

C. Intra-oral :

1. Teeth & Periodontium

2. Oral Mucous Membrane

3. Detailed examination of area of chief complaint

# General appearance : healthy / ill# Intelligence : corresponding to age & health# Mental state : orientation in space & time

consciousnessco-operation

# Build (Physique) : corresponding to age# Gait# Odors# State of nutrition, obesity, edema# Temperature, pulse, respiratory rate

# Expression : calm, frightened, suffering, depressed# Skin color : cyanosis, anemia, jaundice, pigmentation# Skin eruptions, petechiae# Swelling# Lymph node examination# Temporo-mandibular joint

THE DIAGNOSTIC PROCESS

THE DIAGNOSTIC PROCESS

Examination of a

THE DIAGNOSTIC PROCESS

Inspection

# Site, size (extent), shape, number# Borders# Surface & color of the overlying skin# Pulsation

Palpation

THE DIAGNOSTIC PROCESS

# First confirm the inspection findings related to site, size (extent), shape, number, borders and pulsation # Tenderness# Temperature# Consistency# If soft, fluctuation# Mobility with respect to the overlying skin and underlying tissues

Percussion

THE DIAGNOSTIC PROCESS

Auscultation : Bruits

THE DIAGNOSTIC PROCESS