CUE AND CLUE PL IDx PDx PTx Pmo

Female/72yo/w 28 1. HT st II 1. Primary Fundusco - Diet 1500kkal/d S

A:Hystory of HT (post HT HT py - Low salt <2gr/d VS
poorly control Emergency) 2 Secondary - Fluid balance SE
PE HT - Captopril 3x 25 mg
BP 224/125 ER 2.1.1 - ISDN 3X5 mg
200/100 w primary - Bisoprolol 1x2,5mg
PR 117 ER-> 90 hiperaldoste - Spironolacton 1x25mg
bpm ronism
Cest : Ict visible and
palpable ICS VI 2cm
lat MCL S
Lab:
SE Na/K/Cl:
140/3,34/111
Urinalisis
Prot2+,lekosit +, ery
3+, bakteri +
Funduscopy: KW2
hypertension
retinopaty
ECG: sinus rithm HR
83 bpn with LVH
ischemic inferior and
lat wall
CXR: Cardiomegaly
 CUE AND CLUE PL Idx PDx PTx PMo
Female/72yo/w 28 2.Dispepsia 1. Gastritis Endoscopy inj metoklopramid 3 x 10mg S
A: sindrom erosive Po omeperazol 2x20mg VS
Decrease of 2. PUD
appettite ,nausea
Hystory got ASA
PE
BP 224/125 ER
200/100 w
PR 117 ER-> 90
bpm
Lab:
SE Na/K/Cl:
140/3,34/111
ECG: sinus rithm HR
83 bpn with LVH
ischemic inferior and
lat wall
 CUE AND CLUE PL Idx PDx PTx Pmo
Female/72yo/w 28 3. HF st B 1.HHD Echocardi As above S
A: 2.ASHD ografy VS
Hystory of HT poorly SE
control
PE
BP 224/125 ER
200/100 w
PR 117 ER-> 90
bpm
Cest : Ict visible and
palpable ICS VI 2cm
lat MCL S
Lab:
SE Na/K/Cl:
140/3,34/111
ECG: sinus rithm HR
83 bpn with LVH
ischemic inferior and
lat wall
CXR: Cardiomegaly
 CUE AND CLUE PL IDx PDx PTx Pmo
Female/72yo/w 28 4. 1.Dt HT Urinalisis, - confirm to diagnosa S
A: Protein 2.Urolitiasis gram VS
Hystory of HT poorly uri, 3.Glomerulone kultur urinalisis
control eritrosit fritis urin and
PE uturi sensetifity
BP 224/125 ER lekositur
200/100 w i
PR 117 ER-> 90
bpm
Lab:
SE Na/K/Cl:
140/3,34/111
Urinalisis
Prot2+,lekosit +, ery
3+, bakteri+
40x
ery uncount
dismorfik +
 CUE AND CLUE PL Idx PDx PTx PMo
Female/72yo/w 28 5.Hypok 1. Low intake SE Diet extra banana S
A: alemi VS
Decrease of SE
appettite ,nausea
Hystory of HT poorly
control
PE
BP 224/125 ER
200/100 w
PR 117 ER-> 90
bpm
Lab:
SE Na/K/Cl:
140/3,34/111
ECG: sinus rithm HR
83 bpn with LVH
Subjective: bluured vision getting beter
BP : 200/88
HR : 84
RR: 18
 Geriatric HT stage II NSAID

PUD

HT Emergency Dispepsia
syndrom

Bluured Vision

Hypokalemi

Proteinuri,eritrosit Ischemic inferior

HF st B
uri, lekosituri and lateral wall
 Risk factor DM:
CKD
Weight.
Dibeates
Fat distribution
High blood pressure
Inactivity
Heart disease
Family history.
Smoking
Race.
Obesity Age.
Took NSAID Prediabetes.
High cholesterol
African-American, Native-
American or Asian-American
race
Family history of kidney disease
Age 65 or older
 Forgetting to take your blood pressure
medication
Stroke
Heart attack
Heart failure
Kidney failure
Rupture of your body's main artery (aorta)
Interaction between medications
Emergency:

Urgency:

Non urgency:
Diit 1500kkal/d
Low salt 1-2gr/day
Fluid balance
Captopril 3x25mg
ISDN 3x5mg
Bisoprolol 1x2,5mg