8 results
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
• Sick sinus syndrome ... • Vasodilatory meds ... muscle rupture • Acute ... Aortic stenosis • Meds ... • Vasodilatory meds
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
calcification of both adrenal ... confirmed the diagnosis ... #clincial #peds ... #infant #NEJM # ... Wolmans #radiology
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis
Clinical Features:
 • Altered mental status (Either lethargy, confusion, or
Encephalopathy Syndrome ... Clinical Features ... Risk Factors: • Hypertensive ... Immunomodulatory meds ... inhibitors • Renal
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
and persists > 12 ... before Anti-HTN meds ... patients • HELLP: Syndrome ... ↑ in anti HTN meds ... so have high clinical
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
brain PRES Clinical ... Immunosuppressive agents, Renal ... Neurological symptoms: Acute ... , ADEM, Acute toxic ... Seizures: Treat with AEDs
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
Acute Dacryocystitis ... He received a diagnosis ... rare instances, acute ... #NEJM #clinical ... #photo #peds #acute
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... Classification: • Acute ... Differential Diagnosis ... Clinical Features ... Frank nephritis (hypertension
Scleroderma Renal Crisis (SRC)

Clinical Presentation of Scleroderma Renal Crisis:
1) Acute kidney injury
2) Abrupt onset of hypertension
3)
Crisis (SRC) Clinical ... Crisis: 1) Acute ... Abrupt onset of hypertension ... Biopsy to confirm diagnosis ... , add other BP meds