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MCQ: Hypertension

Discussion in 'Test your knowledge' started by xavier, Sep 9, 2011.

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  1. xavier

    xavier Forum Moderator Forum Moderator

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    A 38 years old patient came to the ER with headache vomiting and confusion. B.P 210/120. The condition is called hypertensive:

    a. emergency
    b. urgency
    c. crisis
    d. catastrophe
     
    xavier, Sep 9, 2011
    #1
  2. charcot

    charcot Member

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    B..........hypertensive urgency is an elevation in blood pressure without evidence of end organ dysfunction whereas
    hypertensive emergency is severe hypertension (high blood pressure) with acute impairment of an organ system (especially the central nervous system, cardiovascular system and/or the renal system) and the possibility of irreversible organ-damage.........
     
    charcot, Sep 10, 2011
    #2
  3. xavier

    xavier Forum Moderator Forum Moderator

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    you r going well charcot
     
    xavier, Sep 21, 2011
    #3
  4. Rana Irfan

    Rana Irfan Active Member

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    Option B
     
    Rana Irfan, Jul 18, 2014
    #4
  5. safi_859

    safi_859 New Member

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    Define hypertensive catastrophe and crises also plz


    Sent from my iPhone using Tapatalk
     
    safi_859, Jul 18, 2014
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  6. Mna_daniyalmarwat

    Mna_daniyalmarwat Member

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    i think its A.. its an emergency . because his high blood pressure has caused intracranial hemorrhage( subarachnoid hemorrhage) you can see signs of Intracranial hypertension( Headache & vomiting) in the vignette. so its hypertensive emergency. you have to lower the bloood pressure immediately by giving Labetolol/nitroprussid.
    so the correct answer is A
     
    Mna_daniyalmarwat, Jul 19, 2014
    #6
  7. drwatson

    drwatson Dr Muddasser Administrator Global Moderator

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    Hypertensive crisis is defined as a critical elevation in blood pressure in which diastolic pressure exceeds 120 mm Hg. The presence of acute or ongoing end-organ damage (end organ catastrophe) constitutes a hypertensive emergency, whereas the absence of such complications is known as a hypertensive urgency.
     
    • Like Like x 1
    drwatson, Jul 26, 2014
    #7
  8. sana ul haq

    sana ul haq Member

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    B
     
    sana ul haq, Aug 17, 2014
    #8
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