74 results
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
- Differential Diagnosis ... • Cushing’s syndrome ... with compensatory HTN ... • Serotonin syndrome ... #Differential #Diagnosis
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
- Differential Diagnosis ... DM (visit 2), Diagnosis ... Consider secondary HTN ... multi-drug resistance) Renal ... #HTN #Secondary
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Primary (Essential) (95%) - Onset between age
- Differential Diagnosis ... and bilateral renal ... excess (Cushing syndrome ... Primary #Secondary #HTN ... #Differential #Diagnosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... loss (Diarrhea) Renal ... , Gitelman syndrom ... #Differential #Diagnosis
Complications of Portal Hypertension
 • Hepatic Encephalopathy
 • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax
 •
Hepatopulmonary syndrome ... Portopulmonary hypertension ... Pancytopenia • Renal ... : Hepatorenal syndrome ... Complications #hepatology #diagnosis
Secondary causes of Hypertension
 • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
Secondary causes of Hypertension ... Pseudoephedrine • Primary Renal ... Hyperaldosternism (low renin HTN ... Other low renin HTN ... #differential #diagnosis
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
Diagnosed before ... • First diagnosed ... severe RUQ pain, renal ... patients • HELLP: Syndrome ... #differential #diagnosis
Evaluation of Secondary Hypertension
 • Primary aldosteronism - PRA, PAC
 • Renal artery stenosis - Renal
Evaluation of Secondary Hypertension ... - PRA, PAC • Renal ... artery stenosis - Renal ... fT4 • Cushing syndrome ... Evaluation #workup #diagnosis
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... disease - Alport syndrome ... pain hematuria syndrome ... - RBC casts → Diagnostic ... • Malignant HTN
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
criteria required to diagnose ... injury (often with microscopic ... might support the diagnosis ... proteinuria, or chronic renal ... #Emergency #Diagnosis