Hypertension CASE REPORT
Hypertension CASE REPORT
Hypertension CASE REPORT
Chief Complaint
History of Present Illness
Few hours PTA
Differential Diagnosis of
Dizziness
BPPV
Your Picture Here RULE IN RULE OUT
(+) Dizziness (-) Vertigo, precipitated by rapid
Age – 54 years old change of head positions or
(+) Nausea posture(turn from side-side);
(-) Wax-wane pattern.
(-) Torsional nystagmus
(-) Confirmed by Dix-Hallpike
test
Hypertensive Emergency
RULE IN RULE OUT
(+) BP: 200/120 (-) headache, nape pain, chest
(+) Nausea pain, slurring of speech, blurring
(+) Noncompliant to of vision, loss of consciousness,
medications body weakness, dysuria, oliguria
Hypertensive Urgency
RULE IN RULE OUT
(+) BP: 200/120 Cannot totally rule out
(+) Nausea
(+) Noncompliant to
medications
Hypertensive urgency
ADMITTING DIAGNOSIS
Admitting Orders
• Admit under the service of Dr. Varona
• Secure consent to care and management
• VS q4, I & O q shift
• Diet: Low salt, Low fat
• IVF: PNSS 1L x 80 cc/hr
• Diagnostics:
CBC, Na, K, LP, FBS, Crea, ALT, Trop I, CBG
CXR PA/L, CG 12L, UA, BUA
• Therapeutics:
1. Losartan 50mg/tab, 1 tab OD
2. Esomeprazole 40mg IV OD Pre-meals
3. Betahistine 16mg/tab, 1 tab TID
• Dr. Varona updated
• Refer accordingly
Diagnostics
CBC
Hgb 131
Hct 0.41 Trop I 0.010
WBC 6.10
Segmenters 72
Lymphocytes 19
Platelets 276
UA
SGPT 20 SG 1.010
Creatinine 65 pH 7
BUA 315 wbc 0
Na 142 rbc 1
K 4 Bacteria 119
MT 3
Hypertensive Urgency
Hypertension
• Blood pressure of 130/90
• Based on an average of a 2
careful readings obtained on
>2/= occasions
2017 ACC/AHA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults
Epidemiology
2017 WHO
Epidemiology
• Intravascular Volume
• Autonomic Nervous System
• RAAS
• Vascular mechanisms
2017 ACC/AHA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults
Clinical Disorders of Hypertension
2017 ACC/AHA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults
Diagnostics
2017 ACC/AHA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults
Management
2017 ACC/AHA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults
2017 ACC/AHA Guideline for the Prevention, Detection,
Evaluation, and Management of High Blood Pressure in Adults
Hypertensive
Urgency vs.
Emergency
2017 ACC/AHA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults
2017 ACC/AHA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults
2017 ACC/AHA Guideline for the Prevention, Detection,
Evaluation, and Management of High Blood Pressure in
Adults
2017 ACC/AHA Guideline for
the Prevention, Detection,
Evaluation, and
Management of High Blood
Pressure in Adults
2017 ACC/AHA Guideline for
the Prevention, Detection,
Evaluation, and
Management of High Blood
Pressure in Adults
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