Wednesday, August 19, 2009

Wednesday August 19, 2009

Q; 52 year old female presented with headache and vision change. You did retinal exam. Your Diagnosis?




Hypertensive retinopathy (Malignant phase)


The detection of hypertensive retinopathy with the use of an ophthalmoscope has long been regarded as part of the standard evaluation of persons with hypertension. This clinical practice is supported by both previous and current reports of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC), which list retinopathy as one of several markers of target-organ damage in hypertension.