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Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework Hypertension: • Hypertensive emergency • Hypertensive encephalopathy
Status (AMS) - Differential ... Diagnosis Framework ... • Cushing’s syndrome ... /agitation • CNS ... #Diagnosis #causes
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
- Differential ... Diagnosis Algorithm ... • AKI/CKD Mineralocorticoid ... HTN #Secondary #Nephrology ... #Differential #
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
HIV / AIDS - Differential ... : • Most CNS opportunistic ... • CNS opportunistic ... Demyelinating disease caused ... and <25% culture positive
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
- Differential ... Diagnosis Algorithm ... Positive family ... parenchymal disease - CKD ... excess (Cushing syndrome
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
Chorioretinitis • Diagnosis ... - Compatible syndrome ... Lesions #Brain #differential ... #diagnosis #causes ... #radiology #neurology
Causes of Generalized Edema - Differential Diagnosis Algorithm Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Causes of Generalized ... Edema - Differential ... NSAlDs • AKI/CKD ... pericarditis • Portal hypertension ... #Causes
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
treat underlying cause ... cirrhosis, nephrotic syndrome ... Pulmonary Diseases, CNS ... always exclude: CKD ... #diagnosis #nephrology
Secondary causes of Hypertension • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
Secondary causes ... of Hypertension ... NSAIDS, Steroids, CNI ... #Hypertension # ... differential #diagnosis
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Workup and Differential ... Diagnosis Approach ... heart failure, neurologic ... Neurologic disorders ... #Differential #
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
- Recent hypo/hypertension ... rhabdo/TLS) Causes ... AcuteKidneyInjury #AKI #Nephrology ... #Diagnosis #Algorithm ... #Causes #Differential
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