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

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
Status (AMS) - Differential ... • Cushing’s syndrome ... Drug (+): ... Cocaine • NMS • Serotonin ... #Diagnosis #causes
Serotonin Syndrome Drug Precipitants and Pharmacology
↑ Serotonin Formation: Tryptophan, Oxitriptan
↑ Serotonin Release: Amphetamines, Cocaine, Mirtazapine
↑ Serotonin
Serotonin Syndrome ... Drug Precipitants ... #medications #causes ... #differential # ... diagnosis #drug
Examples of medications that may precipitate serotonin syndrome

#Diagnosis #Differential #Serotonin #Syndrome #Medications #Drugs #Causes
Examples of medications ... #Differential # ... Serotonin #Syndrome ... #Medications #Drugs ... #Causes
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
- Differential ... (multi-drug resistance ... • Nephritic syndrome ... Excess: • Conn's syndrome ... Secondary #Nephrology #Differential
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Primary (Essential) (95%) - Onset between age
- Differential ... Uncontrolled • Drug ... licorice • Medications ... excess (Cushing syndrome ... HTN #Cardiology #Differential
Differential diagnosis of hyperammonemia

#Hyperammonemia #Ammonia #Drugs #Medications #Differential #Diagnosis #Causes #Table
Differential diagnosis ... Hyperammonemia #Ammonia #Drugs ... #Medications #Differential ... #Diagnosis #Causes ... #Table
The RIGID patient: tetanus mimics
 - Serotonin Syndrome
 - Neuroleptic Malignant Sx
 - Malignant Hyperthermia
 -
tetanus mimics - Serotonin ... Syndrome - Neuroleptic ... Hyperthermia - Drug-induced ... mimics #comparison #table ... rigid #patient #differential
Secondary causes of Hypertension
 • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
of Hypertension ... • Medications ... , Drugs, Chemo: ... #Hypertension # ... differential #diagnosis
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
- Differential ... Vascular: Stroke, Hypertension ... vasoconstriction syndrome ... Toxic: Alcohol, Medication ... , Recreational drugs
Pharmacologic Treatment of Hypertensive Emergencies in Pregnancy
Drug - Dose range - Onset/oeak/duration - Side effects
 -
in Pregnancy Drug ... , tachycardia, nausea ... , lupus-like syndrome ... - Urapidil - Nausea ... #Pharmacology #Medications