Dx of malignant HTN
Rapid INC in diastolic BP > 130 mmHg with appearance of grade III-IV retinopathy
Is papilledema required for a Dx of malignant HTN?
NO! It is unreliable
Other work-up that should be done with malignant HTN?
Check cognition
EKG (LVH, ST elevation)
UA: Renal Hematuria
SSx of Malignant HTN
Restlessness, Confusion, Somnolence, Blurry vision, HA, N/V, Focal neuro deficits
Sequellae of Malignant HTN
Encephalopathy w/blurry vision, Seizure, Coma, L ventricular failure, MI, Pulmonary edema, Hemolytic anemia, DIC
Tx of Malignant HTN
MEDICAL EMERGENCY!
Hospitalization
List some other hypertensive emergencies (7)
Pulmonary Edema MI Aortic Dissection Pheochromocytoma Crisis Toxemia of PG Cerebral Hemorrhage Angina (unstable) Encephalopathy