Overview
What is malignant hypertension?
What are the pathophysiology and etiology of malignant hypertension?
Which conditions should be considered in apparent malignant hypertension?
What is the prognosis of malignant hypertension?
What education should be provided to patients with malignant hypertension?
Presentation
What information should be collected in the patient history in suspected malignant hypertension?
What is the focus of the physical exam for suspected malignant hypertension?
Which renal, GI, and ophthalmologic symptoms are associated with malignant hypertension?
DDX
What are the differential diagnoses for Malignant Hypertension?
Workup
Which lab studies are indicated in the workup of malignant hypertension?
Which imaging studies are indicated in the workup of malignant hypertension?
What is the role of ECG and echocardiography in the workup of malignant hypertension?
Treatment
What are the approach considerations in the treatment of malignant hypertension?
Which medications are used in the treatment of malignant hypertension?
What is the role of surgical care in the management of malignant hypertension?
What are the complications of malignant hypertension?
What are the dietary recommendations for patients with malignant hypertension?
What are the activity recommendations for patients with malignant hypertension?
What are further episodes of malignant hypertension prevented?
Which specialist consultations are indicated in the treatment of malignant hypertension?
Guidelines
What are the 2017 ACC/AHA treatment guidelines for malignant hypertension?
What are the ACEP treatment guidelines for malignant hypertension?
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Papilledema. Note the swelling of the optic disc, with blurred margins.
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Hypertensive retinopathy. Note the flame-shaped hemorrhages, soft exudates, and early disc blurring.