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Fluids Hypertension Syndromes: Migraines, Headaches, Normal ...

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<strong>Fluids</strong> <strong>Hypertension</strong> <strong>Syndromes</strong> – Dr. Leonardo Izecksohn – page 25<br />

9- Suspected of Glaucoma is a patient with Optic Nerve’s cup diameter of 0.6 of the Optic Nerve<br />

disk, (Cup/Disk ratio = 0.6), with:<br />

- Deepness of 3 or 4 diopters (maximum), or<br />

- Any visibility of the Lamina cribosa's pores, grades:<br />

1 = feebly visible,<br />

2 = well visible,<br />

3 = perfectly visible.<br />

10- Incipient Glaucoma is a patient with Optic Nerve’s cup diameter of 0.7 of the Optic Nerve<br />

disk, (Cup/Disk ratio = 0.7), with:<br />

- Deepness of 3 or 4 diopters (maximum), or<br />

- Visibility of the Lamina cribosa pores, grade 3 (perfectly visible).<br />

11- Advanced Glaucoma is a patient with Optic Nerve’s cup diameter of 0.8, 0.9 or 1 of the Optic<br />

Nerve disk, (Cup/Disk ratio = 0.8, or 0.9, or 1.0), with:<br />

- Deepness of 3 or 4 diopters (maximum), or<br />

- Visibility of the Lamina cribosa pores, grade 3 (perfectly visible).<br />

Usually his Optic Nerve´s aspect with the direct ophthalmoscope is the “bean pot” cupping.<br />

12- Benign Intracranial <strong>Hypertension</strong> (Idiopathic Pseudo-tumor Cerebri) is the Cerebrospinal Fluid<br />

<strong>Hypertension</strong> when there is an Optic Nerve’s disk edema of 1 diopter or bigger, with no medically<br />

detectable etiology.<br />

13- Measures:<br />

Mercury millimeter (mmHg).<br />

Milliliter (ml).<br />

30 milliliter = 1 fluid ounce.<br />

473 milliliter = 1 pint.<br />

3,785 milliliter = 1 gallon.<br />

1 Kilogram (Kg) = 2.2 pounds = 2.2 * 453 grams.<br />

Diopter = Unit of measurement of the refractive power of lenses.<br />

1 Meter = 3 feet and 3 inches = (3 * 12 + 3) * 2.54 cm<br />

14- Abbreviations:<br />

C/D = Cup/Disk ratio.<br />

ON = Optic Nerve.<br />

15- Sicknesses denominations: Although most of the mentioned aches, signs, symptoms and sicknesses<br />

are acute or episodic, when they recur periodically for some months, the medical doctors usually<br />

denominate them as “chronic”. When the physicians do not know their etiologies, they denominate<br />

them as “allergic”, “idiopathic”, “primary” or “nervous”.<br />

16- Caffeine poisoning, allergy, intoxication or intolerance: It is the pathogenic effect of the caffeine<br />

in the patient. “The term “food intolerance” is used to denote reactions to food which do not involve a<br />

known immune mechanism.” (Steinman H). Other authors denominate it as “caffeine allergy”, “caffeine<br />

anaphylaxis”(Whalen R), “caffeine poisons”, "toxicant-induced loss of tolerance", and “cerebral<br />

allergy”.<br />

17- Risk factor, Etiology and Worsening factor:<br />

- Risk factor or predisposing factor is the factor which presents statistical risk to cause some pathology.

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