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Template:Asymptomatic hypertension evaluation
From WikEM
Asymptomatic hypertension
- Urine pregnancy in all women of child-bearing age (consider preeclampsia if positive)
- Routine screening for acute target organ injury (e.g. creatinine, UA, ECG) is NOT required (Level C)[1]
- In select patient populations, screening of creatinine may identify injury that affects disposition (Level C)[1]
Suggested algorithm:
- <120 diastolic
- No screening ED workup --> home with outpatient treatment
- >210 systolic or >120-130 diastolic
- Chem 7 (creatinine) --> home with outpatient treatment if no evidence of acute renal failure
- "No other diagnostic screening tests (e.g. UA, ECG) appear to be useful"[1]
- Chem 7 (creatinine) --> home with outpatient treatment if no evidence of acute renal failure
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