Disease Information for Hypertension, accelerated

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Clinical Manifestations
Signs & Symptoms
Accentuated A2 sound/cardiac
Accentuated fourth heart sound/S4
Cardiac Symptoms/Signs
Cardiomegaly/Heart dilatation
Diastolic hypertension
Gallop rhythms
Gallop,atrial or S4
High blood pressure/sign
Excessive thirst/polydipsia
Cognitive defect
Dizziness/Dizzy
Headache
Morning headaches
Nocturnal Headache
Orgasm triggered headache
Vertigo
Episodic symptoms/events
Nocturnal awakenings Events Phenomenon
Spells/Episodes of weakness
Thirst Increased
Arterial narrowing/retina
AV-nicking retinal exam
Difficulty Focusing Eyes
Diplopia Double vision
Retinopathy signs on exam
Segmental retinal artery spasms
Tinnitus
Typical Clinical Presentation
Presentation/Obstetrics emergency
Clinical Presentation & Variations
Presentation/High Salt Intake
Presentation/Hypertension Abrupt Onset
Presentation/Peripartum Convulsions
Demographics & Risk Factors
Ethnic or Racial Factors
Black/African american population
Established Disease Population
Patient/Preeclampsia/toxemia
Patient/Hypertension
Patient/Labor status
Patient/Glomerulonephritis, acute
Laboratory Tests
Abnormal Lab Findings - Increased
Anti-AT1 (angiotensin 1 receptor) antibodies
Aldosterone, serum (Lab)
Brain Natiuretic Peptide/BNP level (Lab)
NT-proBNP indicator levels (N-terminal)
URINE Aldosterone
Diagnostic Test Results
EKG (ECG)
EKG/Non-specific ST-T Wave changes (ECG)
EKG/LVH signs (ECG)
EKG/Strain pattern/Left ventricular (ECG)
X-RAY
Xray/Large heart shadow/Chest
Associated Diseases & Rule outs
Rule Outs
Pheochromocytoma
Associated Disease & Complications
Acute Renal Failure
Aortic regurgitation
Azotemia in Elderly
Azotemia/Acute
Cardiogenic Pulmonary Edema
Cerebral hemorrhage
Cerebral vascular accident
Chronic left sided congestive heart failure
Congestive heart failure
Encephalopathy, hypertensive
Epistaxis/nosebleed
Hypertension
Hypertensive retinopathy, acute
Intracerebral hematoma
Left Ventricular Failure
Left ventricular hypertrophy
Nephrosclerosis, benign arteriolar
Nephrosclerosis, malignant
Pulmonary edema/acute left vent failure
Retinal hemorrhage
Proteinuria in Elderly
Ischemic Retinopathy
Disease Synergy - Causes
Synergy/Congestive heart failure
Synergy/Salt load/high sodium diet
Disease Mechanism & Classification
Class
CLASS/Cardiovascular (category)
Pathophysiology
Pathophysiology/Blood pressure effects/uncontrolled
Pathophysiology/CNS-Systemic Vertigo
Process
PROCESS/Vegetative-Autonomic/Endocrine (category)
Treatment
Drug Therapy - Contraindication
RX/Anticoagulants
RX/Epinephrine (Adrenalin)
Drug Therapy - Indication
RX/ACE inhibitor
RX/Captopril (Capoten)
RX/Diazoxide (Hyperstat)
RX/Fenoldopam (Corlopam) infusion
RX/Furosemide (Lasix)
RX/Nitroprusside (Nipride) infusion
RX/Trimethaphan (Arfonad)
Other Treatments
TX/Afterload reduction/cardiac therapy
TX/Salt restriction
Definition

Severe hypertension characterized by papilledema and necrosis of small arteries and arterioles. The diastolic pressure is generally greater than 130 mm Hg.

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External Links Related to Hypertension, accelerated
Google
Wikipedia
Merck
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PubMed (National Library of Medicine)
NGC (National Guideline Clearinghouse)
Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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