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diagnosis differential neurology causes management posterior pres reversible aki altered ams classification criticalcare headache hypertensive injury kidney mnemonic outpatient phantoms
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework Hypertension: • Hypertensive emergency • Hypertensive encephalopathy
emergency • Hypertensive ... encephalopathy ... • Cushing’s syndrome ... compensatory HTN • Seizures ... Renal: • Acute
Approach to Possible Hypertensive Emergency criteria required to diagnose hypertensive emergency (1) Severe hypertension - Usually a MAP
Hypertensive emergency ... encephalopathy ... visual disturbance, seizure ... encephalopathy ... #Algorithm #CriticalCare
Outpatient Hypertension Management Algorithm Monotherapy: • Thiazide/thiazide-like • ACE-I (non-black patients), • ARB
Management Algorithm ... Urgency/Emergency ... • Hypertensive Encephalopathy ... Coronary Syndrome ... #Management #Algorithm
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis Clinical Features: • Altered mental status (Either lethargy, confusion, or
Syndrome (PRES) ... agitation) • Seizures ... Risk Factors: • Hypertensive ... emergency • Preelampsia ... #Neurology
Causes of Encephalopathy - Differential Diagnosis Algorithm Hyperacute: - Primary Neurologic: Vascular (IS, ICH), Seizure, Migraine, Trauma
Vascular (IS, ICH), Seizure ... - Systemic: Hypertensive ... Acute: - Primary ... Inflammatory (Acute ... paraneoplastic syndromes
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
papilledema • Horner syndrome ... fever, myalgia), seizures ... encephalopathy ... arteritis • Acute ... #neurology #PHANTOMS
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Posterior Reversible Encephalopathy ... /Hypertensive emergency ... Neurological symptoms: Acute ... , ADEM, Acute toxic ... : Treat with AEDs
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
a.k.a. cardiorenal syndrome ... disease - Hypertensive ... emergency ... causes: sepsis, meds ... Classification #diagnosis #nephrology
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