Talk:Malignant hypertension
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more a stage o f hypertension than a complication I think. Unsigned by anon
- Yes, but it is a seperate disease entity, as most hypertension patients never get malignant HT. Also, a hypertensive crisis (as in scleroderma) gives symptoms, while a slowly rising BP is generally well tolerated. Please edit the article if you feel the language is unclear. JFW | T@lk 22:35, 26 Sep 2004 (UTC)
[edit] Plagirism
This wikipedia article has blatantly plagirized the Emedicine Malignant Hypertension article [1]authored by John D Bisognano, MD.
The following are exact quotes (including order and punctuation) from the Wikipedia article that appear in the eMedicine article:
The Entire HISTORY section
The most common presentations of hypertensive emergencies at an emergency department are chest pain (27%), dyspnea (22%), and neurologic deficit (21%). The primary cardiac symptoms are angina, myocardial infarction, and pulmonary edema. Orthostatic symptoms may be prominent. Neurologic presentations are occipital headache, cerebral infarction or hemorrhage, visual disturbance, or hypertensive encephalopathy (a symptom complex of severe hypertension, headache, vomiting, visual disturbance, mental status changes, seizure, and retinopathy with papilledema). Medications or drugs that may cause a hypertensive emergency include cocaine, monoamine oxidase inhibitors (MAOIs), and oral contraceptives; the withdrawal of beta-blockers, alpha-stimulants (such as clonidine), or alcohol also may cause hypertensive emergency. Renal disease may present as oliguria (renal failure) or any of the typical features of renal failure. Gastrointestinal symptoms are nausea and vomiting.
Most of the PHYSICAL section
Blood pressure must be checked in both arms to screen for aortic dissection or coarctation. If coarctation is suspected, blood pressure also should be measured in the legs. Screen for carotid or renal bruits
Volume status must be assessed, with orthostatic vital signs, examination of jugular veins, assessment of liver size, and investigation for peripheral edema and pulmonary rales.
Renal function should be evaluated through a urinalysis, complete chemistry profile, and complete blood count. Expected findings include elevated BUN and creatinine, hyperphosphatemia, hyperkalemia or hypokalemia, glucose abnormalities, acidosis, hypernatremia, and evidence of microangiopathic hemolytic anemia. Urinalysis may reveal proteinuria, microscopic hematuria, and RBC or hyaline casts. In patients with hyperaldosteronism (a secondary cause of hypertension), aldosterone promotes renal potassium wasting, resulting in low serum potassium. The chest radiograph is useful for assessment of cardiac enlargement, pulmonary edema, or involvement of other thoracic structures, such as rib notching with aortic coarctation or a widened mediastinum with aortic dissection. Other tests, such as head CT scan, transesophageal echocardiogram, and renal angiography, are indicated only as directed by the initial workup. The ECG is necessary to screen for ischemia, infarct, or evidence of electrolyte abnormalities or drug overdose.
I could go on and on. Bodysurf (talk · contribs)
- If you are concerned about this please follow the procedure on copyright violations. JFW | T@lk 04:06, 17 March 2006 (UTC)
[edit] Contradicts sodium nitroprusside
The sodium nitroprusside article says it should be given for malignant hypertension, this page says no. RogueNinjatalk 22:39, 27 February 2008 (UTC)
[edit] Copyright?
This article is empty except for the Copyright template. Should it not be removed, then? —Preceding unsigned comment added by 91.66.51.170 (talk) 10:46, 19 March 2008 (UTC)
- No the page was blanked for copyright violations. RogueNinjatalk 18:01, 19 March 2008 (UTC)
