983 results
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Consider secondary HTN ... Liddle's syndrome • Bilateral ... Causes: • Aortic coarctation ... #Hypertension #HTN
Coarctation of the Aorta 

Preductal Coarctation:
Narrowing is proximal to ductus arteriosus Life-threatening if severe; seen in
Coarctation of the ... Preductal Coarctation ... syndrome Ductal Coarctation ... closes Postductal Coarctation ... in adults #Coarctation
Secondary causes of Hypertension
 • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
Hyperaldosternism (low renin HTN ... respond to SSRIs • Coarctation ... Other low renin HTN
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Primary (Essential) (95%) - Onset between age
unilateral and bilateral ... • Aortic coarctation ... Primary #Secondary #HTN
Abnormal pulsation in the neck in the setting of Aortic Coarctation

10 yo male,  his father
setting of Aortic Coarctation ... shows aortic coarctation ... PhysicalExam #Aortic #Coarctation
Causes of Recurrent Pregnancy Loss - Differential Diagnosis Algorithm
Environmental:
 • Toxin (organic solvents, mercury, lead)
 •
radiation Other: • Maternal ... hyperthyroidism • PCOS • Luteal ... Genetic: • Maternal ... age • Maternal ... / paternal chromosomal
Coarctation of Aorta (CoA) & Interrupted Aortic Arch (IAA)
 • Prevalence
 • Anatomy of CoA
 •
Coarctation of Aorta ... GinaMPatel #Coarctation
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Ureterosigmoidoscopy • HTN ... Cushing Syndrome • HTN ... Aldosterone: Malignant HTN ... , Renovascular HTN ... hyperaldosteronism • HTN
Lateral Canthotomy - Procedure Instructions
1) Identify the lateral canthus.
Cleanse the area with antiseptic and anesthetize with
Lateral Canthotomy ... ) Identify the lateral ... deeper structures laterally ... across the lateral ... #Lateral #Canthotomy
Oral Antihypertensive Medications - Selection by Comorbidities
Comorbidities: 
 • Stable Angina, HFpEF, HFrEF, AFib, TAA/Marfan, Aortic
Tremor • Supine HTN ... Impairment, Portal HTN ... #Hypertension #HTN