What information should be collected in the patient history in suspected malignant hypertension?
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What information should be collected in the patient history in suspected malignant hypertension?
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@aparupa The history should include screening for symptoms of malignant hypertension, focusing on the cardiac, renal, and central nervous systems. Underlying medical disorders should be reviewed, including the possibility of eclampsia. The patient's medications and other drugs should be thoroughly reviewed [10] ; agents that may cause a hypertensive emergency include cocaine, monoamine oxidase inhibitors (MAOIs), and oral contraceptives; the withdrawal of beta blockers, alpha stimulants (eg, clonidine), or alcohol also may cause a hypertensive emergency. In one review, the most common presentations of hypertensive emergencies at an emergency department were chest pain (27%), dyspnea (22%), and neurologic deficit (21%).