Hypertensive Urgencies and Emergencies
摘要
A 65-year-old long-standing diabetic and hypertensive lady presented to the emergency department with acute onset orthopnea. Blood pressure (BP) recorded was 230/130 mmHg, pulse 120/min regular, oxygen saturation at 86% at room air, orthopneic, and very distressed with intact higher mental functions. Clinical examination revealed a left ventricular S3 gallop, with bibasal soft crepitations. Biochemical tests revealed deranged renal function test and proteinuria.