Background: A patient presents to the emergency department (ED) for medical treatment. After comprehensive evaluation and management, the patient’s condition improves and you prepare to discharge the patient home. The nurse notifies you the blood pressure (BP) is 185/105 and …
Take Home Points Altered mental status has numerous possible etiologies. Splitting it into vital sign issues, toxic/metabolic, infectious processes, CNS issues (bleed, mass) and psych/dementia is a good way to organize your thoughts Hypertensive encephalopathy is a diagnosis of exclusion …
As emergency physicians, we are constantly on the look out for elevated blood pressures and the potential devastating consequences. We are concerned about intracranial bleeds and acute pulmonary edema from heart failure. But what about the patient that comes in …
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