Alcohol
Use:
Select
the most appropriate option to describe how frequently the patient drinks
a serving of alcohol (note that options include both current and previous
use).
Use the
following measurements to determine the quantity consumed by the individual.
One "serving" is equal to: 12 ounces beer or wine
cooler; 5 ounces wine; or 1.5 ounces 80 proof distilled spirits.
For example, if the individual describes consuming "one drink a
day" but each of those drinks is a 40-oz. bottle of beer, you should
recognize that as multiple servings of alcohol per day and choose that
option.
The following terms may be helpful to you as verbal descriptions or
examples to clarify the corresponding quantitative choices:
- "lifetime
abstainer" for a) never had more than or equal to 12 drinks in
any year of life
- "former
drinker" for b) more than or equal to 12 drinks in any 1 year,
but not in past year
- "light
drinker" for c) more than or equal to 12 drinks in past year and
less than 3 per week on average
- "moderate
drinker" for d) 3 to less than 14 drinks per week on average in
past year
- "heavy
drinker" for e) more than or equal to 2 to less than 3 drinks per
day on average in past year
- "abuser"
for f) more than or equal to 3 drinks per day on average in past year
Oral
Cancer Examination:
If you
will perform a clinical examination for oral cancer later in the appointment
(or at some point after completing this risk assessment), select "a."
If you have already done the examination and did not see any lesions,
select "b."
These abnormalities may be detected on the tongue, palate, throat, gum
tissue around the teeth, lips, cheeks, face, and/or neck, and may or
may not be painful.
If you have done the examination and saw lesions or abnormalities of
any type, select "c" and an additional question will appear
at the bottom of the screen asking about those clinical signs, with
the heading "visualized lesions."
Visualized
Lesions:
Check
the box(es) to select any and all of the listed conditions you saw during
the examination. These clinical signs include:
- Red lesions:
reddish patches (erythroplasia) in the mouth; may be red and raised
- White
lesions: whitish patches (leukoplakia) in the mouth
- Red-white
lesions
- Ulcers
- Swelling
- Tissue
enlargement
- Induration
(tissue hardness)
- Non-odontogenic
x-ray lesion: This phrase refers to any non-odontogenic (i.e., non-tooth-related)
lesions, entities or abnormalities detected on the radiographs (x-rays).
Radiographic “lesions” can be radiopaque (white) or radiolucent
(dark) as they appear on the film. You should select this option if
you see either white or dark entities, as they may or may not actually
be “lesions.”
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