GIM Question 6

A patient on your ward complains of feeling “unwell” while you are on call in the middle of the night. Vital signs are as follows: HR 120, BP 210/115 (baseline BP is 140/85), RR 18, SpO2 98% on room air, T 37.2 (oral).

  1. What is the definition of a “Hypertensive Emergency?”
  2. What symptoms would you ask the patient about on history?
  3. What would you look for on physical exam?
  4. What investigations would you order at this time?

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