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Explain the Systemic Metabolic Responses?
Many of the metabolic responses to infection are similar to those following injury. The key changes include:
Hyper metabolism: Oxygen consumption is elevated in the infected patient. It may be 50-60% higher than normal and is related to the severity of the infection (PaCO3 of < 32 mmHg-hypelventilation). In the pre-operative and post injury period, such a response often occurs secondary to severe pneumonia, abdominal infection or wound infection. Increased metabolism is related to fever -being 10-13% for every 1°C elevation in temperature. The metabolic rate returns to normal as the infection resolves.
Characteristics of Thin Gingiva Highly scalloped soft tissue and bony architecture Delicate friable soft tissue Minimal amount of attached gingiva Thin underlying
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