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Hypertensive Encephalopathy in an eclamptic / hypertensive patient.
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MedPix Image - MedPix Case
Affiliation: Tripler Army Medical Center
ABSTRACT
Diagnosis: Hypertensive Encephalopathy in an eclamptic / hypertensive patient. History: 22 year-old female presents to ER with seizure and mental status changes Findings: Within the bilateral posterior, temporal, occipital and parietal lobes, there are several small foci of low density, with cytoxic and vasogenic edema patterns. Ddx: hypertensive encephalopathy Ischemic infarct Intraaxial neoplasm (i.e. astrocytoma) Embolic infarcts Mets Dxhow: Further history yielded the fact that she was three days post-partum and hypertensive. Exam: Physical Exam - BP 170/100 Neuro Exam: Consistent with post-ictal state. Fundoscopic exam not performed. Labs WNL Upon further questioning, she is 3 days post-partum. No MeSH data available. |
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MPX1862_synpic19662: Low density intraparenchymal foci with characteristic cytoxic and vasogenic edema patterns. |
View Article: MedPix Image - MedPix Case
Affiliation: Tripler Army Medical Center
Diagnosis: Hypertensive Encephalopathy in an eclamptic / hypertensive patient.
History: 22 year-old female presents to ER with seizure and mental status changes
Findings: Within the bilateral posterior, temporal, occipital and parietal lobes, there are several small foci of low density, with cytoxic and vasogenic edema patterns.
Ddx: hypertensive encephalopathy Ischemic infarct Intraaxial neoplasm (i.e. astrocytoma) Embolic infarcts Mets
Dxhow: Further history yielded the fact that she was three days post-partum and hypertensive.
Exam: Physical Exam - BP 170/100 Neuro Exam: Consistent with post-ictal state. Fundoscopic exam not performed. Labs WNL Upon further questioning, she is 3 days post-partum.
No MeSH data available.
