Hypertension in young
แบ่งได้จากอะไรบ้าง
- ยา
- Renal
- Vascular
- Endo
5 pulmo - Cardio
Htn in young
ยา
Steroid
ชะเอม
NSAID
Coccaine
Htn in young
Renal
ADPK
PCOS
Glomerular- protenuria edema
Tubular - distal RTN
Htn young
Vascular
RAS
PAN
Scleroderma
Doppler utz
MRA
Spiral CT
Htn in young
Endo
- Pheochromocytoma
- Cushing
- Aldosterone
- Acromegally
- Hypo hyper thyroid
Htn in young
Pulmo
Pulmo HTN
OSA
Htn in young
Cardio
Takayasu
Coarctation(NF1, turner)
Opthal
Cc มองไม่เห็น sudden
Central retinal vein occlusion
Hyper coag> protein CS, ATT, homocysteine, APAS, MM(rauolaux,serum EP)
DIC
PNH
Opthal
ตาตกเห็นภาพซ้อน 1 ข้าง
Opthalmoplegia cn3,4,6
Cavernous sinus thrombosis
Dx
tumor(cranio, meningio),
vascular(fistular, PCA aneyrysm) ,
infect(mucocele, abscess, herpes,mucor, syphilis),
autoimmune(wg) eosinophil, sacoid, pseudo tumir
Infiltrate-AMl
Infect
Granulomatous- tolisa hunt( painful weakeye weak muscle
Chronic Diarrhea
- ro bloody> malignancy, infection(tb CMV Amebic shigella), IBD (uc>crohn)
- Watery? Secretory? Small bowel(ออกเยอะ)
- Infect- TB, MAC, Parasite,CMV, Protozoa, Crypto
- Inflame- IBD, Colitis
- Malabsorption- Pancreatitis, sprue
- Hormone - hyperthyroid, addison
- Neoplasm + ตับโต wt liss - colon Ca
- Drug colchicine
Vomiting
- R/o drug - ATB chemo digoxin OCP
- แยก other uremia(ตับ?ไต?), preg(ท้องโตนมคัดตึง),กินสารอะไรไปไหม ethanol
- Intraperitoneum(GI)
Obstruction, infection, inflam(Panc, Appendicitis, hepatitis, biliary colic), Motor(gastroparesis, functional) - Extraprritoneal(non GI)
Brain > abscess, Ca, hemorrhage, hydrocephalus
Cardio > MI
Ear> motion sickness, lybrintitia
Spleenomegally
แยกเป็นขาอะไรได้บ้าง
Hemato- nononco- thal
Infection- leshmianiasis, TB, EBV, Malaria, thyphoid, HIV, Histo, Schistomiasis
Cancer - lymphoma, Hairy cell, CLL, AML, PV
Portal- cirrhosis hepatic splenic vein thrombosis
Systemic- amyloid, sarcoid, SLE, RA(felty syndrome)
Metabolic(young)- gaucher, POEMS(polyneuro organomegally endocrine monoclonal skin)
