Hypertension

Sat, 01/31/2009 - 13:10 — hawkeye

I fequently get patients that come in 150/101 or 145/105 and so on. I am wondering what are peoples cute off on doing a procedure vs not proceding and consulting ones physician?

General Surgical Topics

Mon, 05/18/2009 - 16:24 — hawkeye

Hypertension article in May JIACD

Great article by Naylor in this months JIACD. Answered all my question. Great review.

Wed, 03/04/2009 - 22:23 — Richard Hughes DDS

Hypertension

If they are being seen by a physician, I sedate and treat. I will communicate with said physician first. If the patient is out of control and not under the care of a physician, then control any dental pain and get them to a physician.

Wed, 03/04/2009 - 23:04 — Mental Foramen

One of my HTN pts had TIA

Very interesting situation. One of my patients from 2 weeks ago had a blood pressure of 160/104 prior to surgery. We waited 5 minutes, retook blood pressure, and the second reading was 156/98. I felt comfortable providing treatment to this patient and the procedure went without a problem. I informed the patient that he should see his medical provider to have his blood pressure evaluated.

When the patient returned for his follow up appointment 10 days later, he tells me "I had a stroke last week." I said, "What did you have a stroke about?" The patient replied, "Nothing...I really had a stroke!"

Quick summary. The patient was driving to work a few days after the surgery and experienced double vision. The double vision persisted so he went to the hospital. The hospital determined the patient had a mild TIA. Imaging studies revealed that this was actually the patient's 2nd mild TIA. Lab tests showed the patient to have very high cholesterol and triglyceride levels. The patient has been placed on a number of new meds to treat his HTN and elevated TG/Cholesterol.