dr.ayham Forum Newbie

Topics: 10 Posts: 20
| | 10/08/07 - 01:56 AM  
 
   
 
|   #1 |
is bulging fontanel in child a contraindication to do LP? in acute angel glaucoma the next step is ? 1 topical pilocarbin or 2 measurement of intraocular pressure
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| jodin
Topics: 7 Posts: 36
| | 10/08/07 - 05:37 AM  
 
   
 
|   #2 |
Well .... for the 1st question, - I thnk that a bulging fontanelle is a contra for LP to prevent herniation. For the 2nd ... Angle closure glaucoma next step is medical treatment ( pilocarpine .... B agonists .... acetazolamide ... mannitol) sometimes iridotomy is done in severe resistant angle closure glaucoma
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| jodin
Topics: 7 Posts: 36
| | 10/08/07 - 05:39 AM  
 
   
 
|   #3 |
If open angle ( which is not a medical emergency, i guess that medical treatment is sufficient. Tell me if u find any contradiction in what i wrote Good luck
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| GOGETA I'm Dr. GOGETA

Topics: 320 Posts: 2,709
| | 10/09/07 - 06:21 AM  
 
   
 
|   #4 |
For what I remember in Glaucoma close or open you can use pilocarpine in the mergency in the mean time the opthamologist arrives. Yes I know Pilocarpine is not use in open glaucoma, but is emergency. Correct me if I'm wrong I think you mean B antagonist like timolol right? And for the first question I agree with jodin
___________________ As a general rule, the better it felt when you said it, the more trouble it's going to get you into.
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