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diagnosis differential causes management neurology acute posterior pres reversible rhabdomyolysis treatment classification criticalcare headache heat heatstroke htn hypertensive illness kidney
Approach to Possible Hypertensive Emergency criteria required to diagnose hypertensive emergency (1) Severe hypertension - Usually a MAP
Hypertensive emergency ... - Acute kidney injury ... encephalopathy ... visual disturbance, seizure ... #Algorithm #CriticalCare
Outpatient Hypertension Management Algorithm Monotherapy: • Thiazide/thiazide-like • ACE-I (non-black patients), • ARB
Management Algorithm ... Urgency/Emergency ... • Hypertensive Encephalopathy ... Acute Coronary Syndrome ... • Acute Kidney Injury
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
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Acute Kidney Injury ... disease - Hypertensive ... emergency ... causes: sepsis, meds ... Classification #diagnosis #nephrology
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Differential Diagnosis Algorithm ... urgency or emergency ... • AKI/CKD Mineralocorticoid ... HTN #Secondary #Nephrology ... Differential #Diagnosis #Algorithm
Causes of Seizures - Differential Diagnosis Algorithm Unprovoked - Epilepsy: • Focal: Simple, Complex • Generalized: Absence,
Causes of Seizures ... Vascular: Stroke, Hypertension ... vasoconstriction syndrome ... Traumatic brain injury ... #Causes #neurology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
, Compartment syndrome ... exertion/training, Seizures ... Dermatomyositis) AKI ... Shift of extracellular ... muscles -> HYPOTENSION
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
of Acute Kidney Injury ... Diagnosis Algorithm ... Acute Kidney Injury ... • Hepatorenal syndromes ... #KidneyInjury #Nephrology
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 ... : Treat with AEDs ... Posterior #Reversible #Encephalopathy ... #management #neurology
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