23 yo female with NAPE pain

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23 yo female with NAPE pain

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6 Posts

r753_2000
Forum Elite

Topics: 59
Posts: 255

11/20/05 - 05:48 AM

23 year old female with nape pain for 2 weeks. No other complains. No abnormalities in physical exam exam BP 170/110. How would you manage this patient?

chemamr
Moderator and PGY2
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11/20/05 - 06:43 AM

look for secondary causes of HTN (renovascular, pheocromo, thyroid, aortic coarctation, Conn, etc.) with CxHx and some lab tests (maybe a urine toxicology, too)

Meanwhile, control her HTN with medications.

any other thing?

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r753_2000
Forum Elite

Topics: 59
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11/20/05 - 01:10 PM

would you consider nape pain HTN urgency or HTN emergency?

jyotimittal
Forum Newbie

Topics: 4
Posts: 26

11/21/05 - 03:31 AM

hi there,

I think the pt has moderate Hypertension, its not a emergency. Investigate the causes of hypertension. Its not hypertensive urgency or emergency.

Vai
Forum Elite

Topics: 30
Posts: 195

11/21/05 - 10:30 AM

i will recheck for hypertension at a later date. Meanwhile maybe lifestyle modification.

???

chemamr
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11/21/05 - 11:20 AM

good points. You can confirm the Dx first, with other BP check up. I thought she was diagnosed, but the case doesn´t specify this.

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