2. Free Powerpoint Templates Page 1 Breath odor Assessment Questionnaire Breath odor Assessment Questionnaire

3. Free Powerpoint Templates Page 2 Introduction Bad breath is a reasonably common symptom that may be the simple result of poor dental hygiene. However, different types of breath odor can also indicate certain types of serious medical conditions. For example, a "fruity breath odor" is one of the characteristic symptoms of diabetic ketoacidosis, which can be fatal within hours or days. Another example is a "fecal breath odor" which can indicate certain types of intestinal blockage. Have any breath odor symptoms examined promptly by a medical professional.

4. Free Powerpoint Templates Page 3 1. Who has noticed the breath odor? Why: may suggest Psychogenic halitosis (i.e. anxiety about breath odor often without having it) if you have noticed the breath odor and others have not. 2. How long have you noticed the breath odor? Why: to determine if acute or chronic. 3. What is your teeth and gum hygiene routine? Why: to establish possibility of breath odor being due to poor hygiene or anaerobic infections of the mouth.

5. Free Powerpoint Templates Page 4 4. When was the last time you went to a dentist for a check-up? Why: to establish the possibility of mouth or dental disease as cause of breath odor. 5. Alcohol history? Why: to determine possibility of alcohol as cause of breath odor. 6. Medications? Why: certain medications may cause breath odor.

6. Free Powerpoint Templates Page 5 7. Dietary history? Why: certain foods can precipitate breath odor e.g. garlic, fish, curry, onions, caffeine. 8. Cigarette smoking? Why: cigarette smoking is a direct cause of breath odor and may increase the risk of cancer of the mouth, throat, larynx and trachea which also may cause breath odor. 9. Dry mouth e.g. on waking? Why: may be cause of breath odor.

7. Free Powerpoint Templates Page 6 10. Disturbance of consciousness? Why: may suggest alcoholism, diabetic ketoacidosis, renal failure and hepatic coma. 11. Symptoms of diabetic ketoacidosis? Why: e.g. rapid breathing, vomiting, unwell, dehydrated. 12. Symptoms of liver failure? Why: e.g. jaundice, bruising, swollen abdomen, leg s

8. Free Powerpoint Templates Page 7 13. Symptoms of renal failure? Why: e.g. poor energy, poor appetite, frequency of urination, need to urinate at night, nausea, vomiting, itching. 14. Symptoms of lung or sinus disease? Why: e.g. cough, sputum production, fever, shortness of breath, post-nasal drip. 15. Symptoms of throat condition? Why: e.g. sore throat, difficulty swallowing, acid reflux.