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Tonometry is the procedure that eye care professionals perform to determine the intraocular pressure (IOP), the fluid pressure inside the eye. It is an important test in the evaluation of patients at risk from glaucoma . [ 1 ]
Palpation is one of the oldest, simplest, and least expensive methods for approximate IOP measurement, however it is very inaccurate unless the pressure is very high. [3] Intraocular pressure is measured with a tonometer as part of a comprehensive eye examination. Contact lens sensors have also been used for continuous intraocular pressure ...
Palpation is the process of using one's hands to check the body, especially while perceiving/diagnosing a disease or illness. [1] Usually performed by a health care practitioner, it is the process of feeling an object in or on the body to determine its size, shape, firmness, or location (for example, a veterinarian can feel the stomach of a pregnant animal to ensure good health and successful ...
Collecting medical history is the first and an essential step in eye examination. [2] [3] Many eye conditions are associated with systemic health, and many diseases can have manifestations in the eye. Certain systematic medications can carry ocular side effects and warrant routine eye exams. [3]
This impulse may also be felt in dilated right ventricular myopathy. The palpation of dilated myopathy differs in that the impulse tends to be vigorous and brief. This is in contrast with the sustained impulse of the hypertrophied right ventricle. [5] A parasternal heave may also be felt in mitral stenosis. [6]
Goldmann applanation tonometer is based on the Imbert–Fick principle, which states that for a dry thin-walled sphere, the pressure (P) inside the sphere equals the force (F) necessary to flatten its surface divided by the area (A) of flattening (i.e. P = F/A).
The patient is positioned in the supine position tilted up at 45 degrees if the patient can tolerate this. The head should rest on a pillow and the arms by their sides. The level of the jugular venous pressure (JVP) should only be commented on in this position as flatter or steeper angles lead to artificially elevated or reduced level respectively.
Fremitus is a vibration transmitted through the body. [1] In common medical usage, it usually refers to assessment of the lungs by either the vibration intensity felt on the chest wall (tactile fremitus) and/or heard by a stethoscope on the chest wall with certain spoken words (vocal fremitus), although there are several other types.