Hypertension

/Tag:Hypertension

A KIDNEY’S CRISIS

Case Presentation: A 46-year-old female presented for evaluation of two days of nausea and vomiting. She also described swelling in her legs and decreased urination over that time. Exam revealed blood pressure of 150/100 (baseline [...]

By | 2018-03-19T15:44:35+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on A KIDNEY’S CRISIS

ASSESS BEFORE RX: ADDRESSING THE HARMFUL OVERTREATMENT OF ASYMPTOMATIC HYPERTENSION

Background: Hypertensive crisis is classified as either hypertensive emergency or hypertensive urgency, distinguished by presence or absence of end-organ damage, respectively. Guidelines recommend treating hypertensive emergency with intravenous (IV) antihypertensive medications for immediate blood pressure [...]

By | 2018-03-19T13:04:08+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Value in Hospital Medicine|Comments Off on ASSESS BEFORE RX: ADDRESSING THE HARMFUL OVERTREATMENT OF ASYMPTOMATIC HYPERTENSION

ASSESSMENT OF VITAMIN LEVELS ON ATHEROSCLEROTIC CARDIOVASCULAR DISEASE RISK: A RESIDENT DRIVEN QUALITY IMPROVEMENT INITIATIVE

Background: Hypertension is a significant risk factor for cardiovascular disease. According to the Centers for Disease Control and Prevention (CDC) half of all United States citizens with hypertension (HTN) do not have their blood pressure [...]

By | 2019-03-11T14:22:29+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on ASSESSMENT OF VITAMIN LEVELS ON ATHEROSCLEROTIC CARDIOVASCULAR DISEASE RISK: A RESIDENT DRIVEN QUALITY IMPROVEMENT INITIATIVE

INTENSIFICATION OF ANTIHYPERTENSIVE REGIMENS DURING HOSPITALIZATION FOR UNRELATED CONDITIONS: TOO MUCH OF A GOOD THING?

Background: Transient elevations of blood pressure are common in hospitalized older adults and may lead inpatient clinicians to intensify inpatient antihypertensive therapy and discharge patients on these intensified regimens. Intensification of outpatient regimens during hospitalization [...]

By | 2018-03-19T15:44:15+00:00 March 19th, 2018|Geriatrics, Research, Uncategorized|Comments Off on INTENSIFICATION OF ANTIHYPERTENSIVE REGIMENS DURING HOSPITALIZATION FOR UNRELATED CONDITIONS: TOO MUCH OF A GOOD THING?

Know Thy Selfie, Know Thy Diagnosis: A Picture Perfect Presentation of Horner Syndrome

Case Presentation: A 46 year-old man with a past medical history of untreated hypertension presented with right ptosis and miosis. The patient was in his usual state of health until one month prior to presentation, [...]

By | 2018-03-22T15:50:11+00:00 March 19th, 2018|Adult, Clinical Vignettes, Finalist Posters, Hospital Medicine 2018|Comments Off on Know Thy Selfie, Know Thy Diagnosis: A Picture Perfect Presentation of Horner Syndrome

NARROWING THE DIAGNOSIS: A CASE OF AN 18 YEAR OLD WITH SEVERE CARDIOMYOPATHY

Case Presentation: An 18 year old Spanish speaking male from Honduras presented following a motor vehicle accident. Initial assessment in the ED included a CXR and bedside Echocardiogram which noted cardiomegaly and a reduced EF [...]

By | 2018-03-19T15:44:28+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on NARROWING THE DIAGNOSIS: A CASE OF AN 18 YEAR OLD WITH SEVERE CARDIOMYOPATHY

POST OPERATIVE STROKE REVEALS UNDERLYING GENETIC CONDITION

Case Presentation: A 46-year-old woman presented with left hemiparesis following elective hip replacement. Past medical history noted essential hypertension currently untreated and bilateral hip dysplasia corrected as a child. She took ibuprofen and hydrocodone-acetaminophen for [...]

By | 2018-03-19T13:11:26+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on POST OPERATIVE STROKE REVEALS UNDERLYING GENETIC CONDITION

THE PREVALENCE OF TREATING ASYMPTOMATIC ELEVATED BLOOD PRESSURE WITH INTRAVENOUS ANTIHYPERTENSIVES ON THE GENERAL MEDICINE WARDS: A POTENTIAL TARGET FOR A QUALITY IMPROVEMENT INTERVENTION

Background: Elevated blood pressure (BP) is common among hospitalized patients, with prevalence estimates between 50-70%. Many factors may contribute to this, such as pain, nausea, anxiety, or volume overload. However, true hypertensive emergency requiring rapid [...]

By | 2018-03-19T13:04:26+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on THE PREVALENCE OF TREATING ASYMPTOMATIC ELEVATED BLOOD PRESSURE WITH INTRAVENOUS ANTIHYPERTENSIVES ON THE GENERAL MEDICINE WARDS: A POTENTIAL TARGET FOR A QUALITY IMPROVEMENT INTERVENTION