Have a headache and remain unchanged or is initiated by glaucoma after stepping down

Have a headache and remain unchanged or is initiated by glaucoma after stepping down
Patient, women, 72 years old, in order to have a headache for 4 years repeatedly, and then send for 10 hours and is admitted to hospital for the main suit. Patient's hypertension medical history is 4 years, its fluctuating range of blood pressure is 130~160/70~100mmHg, blood pressure often has a headache while rising usually, go to a doctor in the clinic of internal medicine department of our institute more, take the depressor treatment, have a headache and relieve. Have obvious inducement feel suddenly, have a headache 10 hour admitted to hospital, as left the intersection of temple and parts of bored pain, it is disgusting and vomiting the stomach content thing to accompany for several times, plan to accept internal medicine department with essential hypertension in clinic.
Physical examination: Unless blood pressure 150/90mmHg, mind be cleared,heart rate 74 times /divide,there are neat on law, heart loudness of a sound, last and noise district per valve. Solicit the blood vessel around ' -). Neural the systems inspection ' -). Diagnose tentatively: Essential hypertension. It is obviously unusual that the cranium brain CT has not been seen. The arterial carotis + color sonography shows: The dualth side neck atherosclerosis accompanies the echo to strengthen the spot piece and take shape. After stepping down, dealing with to the ill, still repeated left temple department has a headache, present the stuffy pain of continuation.
Sun once aches and aggravates, checks again the body finds the diameter 4mm of left pupil, reflects to the light that disappears, the crystal is muddy, the diameter 2mm of right side pupil, then consider headache may relate to left eye pathological change. The eye doctor holds a consultation, it is 57mmHg to examine the intraocular pressure value. Consider continuing taking place glaucoma, left eye age and relevance cataract for left eyes, then department's surgery treatment in an instant. The intraocular pressure drops after the operation, have a headache and relieve.
Realize: This patient knows well for the doctor " Old " The patient, it is caused that headache in the past rose for blood pressure more, step down and treat, have a headache and relieve. But step down and treat, has a headache and has not relieved this time. It has a headache to be diagnostic standard of glaucoma one of, glaucoma first line of patient send symptom often. Headache that glaucoma produce get up disease to be generally relatively slow, lie in more the intersection of disease and the intersection of eyes and the intersection of side and volume temple district, present the bloated pain or dull pain of long-term continuation. Because have a headache and often examine at internal medicine department for the first time, need the physician to ask the oculist to get rid of glaucoma first.
Hospital of Fuqing of Fujian Province Yu LiHua
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