Wednesday, 12 October 2016

The Need For BP Test During Routine Eye Examination


Some eye clinics today overlook BP test during eye examination. Sphygmomanometer is an instrument used in measuring the blood pressure. It helps in the diagnosis of hypertension and hypotension. Eye clinics today overlook this test and go on with visual acuity test, refraction and the rest of them.
Patients walk into your clinic unaware of some asymptomatic diseases or some problems they are experiencing which cause is not known to them. A test such as blood pressure test should not be overlooked as it could help save a life.
I had a patient who came to visit me at my clinic for his routine eye check and I decided to check his BP before anything just for formality sake, checking his BP, I found it to be as low as 80/30 mmHg. I checked again just because I couldn't believe it as he wasn't showing any symptoms of being hypotensive which would have include nausea, dizziness, lack of concentration, pale skin, blurry vision etc. and him never mention it to me. I asked him to go for a medical check up and the result came in that he has low blood volume of about 3% which could be life threatening and he had to get admitted.
Hypotension(low blood pressure) can be life threatening as it accompanies several diseases like endocrine problems (such as hypothyroidism, parathyroid disease, and adrenal insufficiency), heart problems (such as bradycardia, problems with heart valves, heart attack, and heart failures), severe septic infection, neurally mediated hypotension etc.
Hypertension which is the other side of it, is an increase in the blood pressure above 140/90 mmHg. This condition can also lead to several vascular diseases such as aneurysm, artery damage. It could also cause kidney failures, heart failure, dementia, stroke, transient ischemic attack etc.

You can save a patient with a test as simple as BP test, this should never be overlooked as a lot of illness are quite asymptomatic which makes them difficult to diagnose or could even show its symptoms when it is too late. 

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