Difference between revisions of "Hypertension (main)"

(Management)
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{{Hypertension categories}}
 
{{Hypertension categories}}
  
*End organ damage results in Chest pain, Acute confusion, blurred vision or signs of kidney damage.
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==Clinical Features==
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*Most hypertension is asymptomatic
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*End organ damage may result in [[chest pain]], [[altered mental status]], blurred vision or signs of [[kidney failure]]
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
 
{{Hypertension DDX}}
 
{{Hypertension DDX}}
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==Evaluation==
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==Management==
 
==Management==
 
*See [[antihypertensive medications]]
 
*See [[antihypertensive medications]]
*It is always a good practice to repeat blood pressure after seeing an elevated reading.
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*Patients with Hypertensive urgency may be safely discharged once the pressure has come down to acceptable range.
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==Disposition==
*Patients should always given a follow up appointment with the primary care physician.
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*[[Hypertensive emergency]] --> admission
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*Otherwise, normally discharged home with a follow up appointment with the primary care physician
  
 
==References==
 
==References==

Revision as of 11:34, 4 December 2016

Background

Categorization of Hypertension[1]

^Many emergency physicians do not use the diagnosis of "hypertensive urgency," but utilize instead only hypertensive emergency (signs of end organ dysfunction) or asymptomatic hypertension (all others)

Clinical Features

Differential Diagnosis

Hypertension

Evaluation

Management

Disposition

  • Hypertensive emergency --> admission
  • Otherwise, normally discharged home with a follow up appointment with the primary care physician

References

  1. Levy PD. Hypertensive Emergencies — On the Cutting Edge. EMCREG - International. 2011. 19-26.