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diagnosis neurology differential management posterior pres reversible altered causes criticalcare headache hypertensive mnemonic outpatient phantoms primarycare urgency
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework Hypertension: • Hypertensive emergency • Hypertensive encephalopathy
Mental Status (AMS ... emergency • Hypertensive ... encephalopathy ... compensatory HTN • Seizures ... #AMS #encephalopathy
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
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
Outpatient Hypertension Management Algorithm Monotherapy: • Thiazide/thiazide-like • ACE-I (non-black patients), • ARB
Management Algorithm ... Urgency/Emergency ... • Hypertensive Encephalopathy ... Acute Coronary Syndrome ... inhibitors) - Amy
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
Differential Diagnosis Algorithm ... papilledema • Horner syndrome ... fever, myalgia), seizures ... encephalopathy ... #neurology #PHANTOMS
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Posterior Reversible Encephalopathy ... /Hypertensive emergency ... edema visualized as ... : Treat with AEDs ... #management #neurology
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