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Understanding Your Dental Patient with Significant Medical Disease - Part II - Hepatic, Renal, Endocrine and Gastroenterology Friday - Saturday, January 11-12, 2013 with Bart S. Johnson, DDS Medicine is becoming an exponentially more complex practice, and our dental patients are presenting us with ever-increasingly complex histories. In order to make the best dental decisions with our patients, we need to understand the intimate details of their overall status. This will be both a lecture and participation (“dive in and do it!”) course. We will first go over the topics listed below, and then do a detailed discussion of how dental treatment might need to be modified based on the patient’s individual situation. Real-life examples of medical reports/lab tests/diagnostics will be given out and reviewed so the participant can gain practical experience in reading and understanding the type of information that is likely to be sent to them by a medical doctor’s office. Objectives: This course is intended to take the dentist and hygienist from a virtually zero-based knowledge of medicine to a level where they can successfully read charts, lab tests and basic diagnostic reports. This knowledge will enable them to work closely with the physicians to make quality decisions for their patient’s care. Hepatic: Normal anatomy and physiology, including metabolism, synthesis and storage Common maladies including viral hepatitis, cirrhosis, jaundice and autoimmune disease Typical signs and symptoms of liver disease Medical diagnostics including liver function tests and palpation Medical therapeutics including medications, surgery and vaccinations Dental considerations and modifications (Many to think of!) Renal: Normal anatomy and physiology Common diseases including acute/chronic renal failure, polycystic kidneys and osteomalacia Medical diagnostics including auscultation, percussion, and renal function tests Medical therapeutics including medications, dialysis, and surgery/transplant Dental considerations and modifications Endocrine: Normal anatomy and physiology of the pituitary, thyroid, pancreas, adrenals & (briefly) ovaries/testes Detailed discussion of common endocrine diseases of these organs, especially diabetes Medical diagnostics specific to each of these organ systems Medical therapeutics including stimulant and replacement medications, insulin pumps, etc. Dental considerations and modifications Gastroenterology: Normal anatomy and physiology of the GI tract and the enterohepatic circulation (gastric, pancreas, bile, digestion/absorption, etc.) Common diseases including Crohns, diverticulitis, colitis, peptic ulcers, GERD, constipation, diarrhea, malabsorption syndrome Medical diagnostics including lab tests and colonoscopy/esophogastroduodenoscopy Medical therapeutics including medications and surgical procedures Dental considerations and modifications Next Class: May 31 & June 1, 2013 - Part III - Immunology, Psychiatry, Neurology, Oncology Speaker: Barton S. Johnson, DDS, MS is the Director of the General Practice Residency program at Swedish Medical Center in Seattle. He is a co-owner of Seattle Special Care Dentistry, a private practice focusing on the care of medically complex patients. Bart is a Diplomate of the American Board of Special Care Dentistry, a Fellow in the American Association of Hospital Dentists, and a Fellow of the American College of Dentists. His research interest is the molecular biological activities of retinoids and how they are involved in regulating cellular growth, differentiation and oncogenesis. In his spare time, Dr. Johnson is editor of Pharmacology and Therapeutics for Dentistry. When: Friday - Saturday, January 11-12, 2012 Time on Friday: 9 a.m. to 6 p.m. Lunch Included Credit: 16 hours Tuition : $500 per dentist & $400 per staff Location : TBD Time on Saturday: 8 a.m. to 5 p.m.