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Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework Hypertension: • Hypertensive emergency • Hypertensive encephalopathy
• Cushing’s syndrome ... mass OB: • Eclampsia ... /Pre-Eclampsia ... • Serotonin syndrome
Hypermagnesemia - Etiologies by Mechanism Renal Failure Excessive Mg Administration - Massive PO intake
infusion (e.g. eclampsia ... - Tumor lysis syndrome
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Guillain-Barré syndrome ... Hyperthyroidism, Serotonin syndrome ... , Eclampsia, Late
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis Clinical Features: • Altered mental status (Either lethargy, confusion, or
Encephalopathy Syndrome ... Preelampsia / Eclampsia ... Encephalopathy #Syndrome
Gestational Hypertension & Preeclampsia Gestational Hypertension (gHTN) • BP > 140/90 • Onset > 20 wks gestation
visual symptoms Eclampsia ... Seizure HELLP Syndrome
Thrombocytopenia and Pregnancy - TTP/HUS, HELLP Syndrome and Acute Fatty Liver of Pregnancy (AFLP) Three syndromes in
TTP/HUS, HELLP Syndrome ... Pregnancy (AFLP) Three syndromes ... Variant of pre-eclampsia
Causes of Gallbladder Wall Thickening - Differential Diagnosis • Physiologic: Contracted gall bladder in a non-fasting
cirrhosis, Nephrotic syndrome ... , Pre-eclampsia
Causes of Seizures - Differential Diagnosis Algorithm Unprovoked - Epilepsy: • Focal: Simple, Complex • Generalized: Absence,
vasoconstriction syndrome ... Liver failure, Eclampsia
Outpatient Hypertension Management Algorithm Monotherapy: • Thiazide/thiazide-like • ACE-I (non-black patients), • ARB
Acute Coronary Syndrome ... Injury • Pre-Eclampsia
Hemolysis - Differential Diagnosis Framework 1) Environment - Fragmentation - MAHA: TTP, HUS, DIC, HELLP
AS - HTN/Pre-eclampsia ... Drug-associated, PCH, Evans Syndrome
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