220 results
Hypertensive Emergency and Hypertensive Crisis - Blood Pressure Targets
 • Hypertensive Emergency
 • Ischemic Stroke (w/
pre-eclampsia) • Pheochromocytoma ... management #treatment #HTN
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Consider secondary HTN ... (ie. cocaine, pheochromocytoma ... Hypercalcemia • Pheochromocytoma ... #Hypertension #HTN
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
Pheochromocytoma ... rule = 10% of pheochromocytomas ... 1/2 paroxysmal HTN ... • Pheochromocytoma ... crisis, or pheochromocytoma
Secondary causes of Hypertension
 • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
Renal Disease • Pheochromocvtoma ... Hyperaldosternism (low renin HTN ... Other low renin HTN
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
aldosteronism • Pheochromocytoma ... with compensatory HTN
Approach to a young patient with hypertension
General Evaluation - History and Examination, Basic chemistries (K, eGFR),
HA (malignant HTN ... low-renin essential HTN ... hyperparathyroidism, pheochromocytoma
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Primary (Essential) (95%) - Onset between age
Catecholamine excess (pheochromocytoma ... Primary #Secondary #HTN
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
syndrome, Acromegaly, Pheochromocytoma ... most pts have HTN
The components of the adrenal gland and consequences of excess hormone production #Pathophys #MedStudent #Conn #Cushing
Conn #Cushing #Pheochromocytoma
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Ureterosigmoidoscopy • HTN ... Cushing Syndrome • HTN ... Aldosterone: Malignant HTN ... , Renovascular HTN ... hyperaldosteronism • HTN