In this episode, we walk through a high-stakes emergency: a 53-year-old woman with known hypertension who collapses at home, seizes, and arrives at the ED with a GCS of 8 and a blood pressure of 209/120 mmHg.

Join your hosts Dr Daniel Olinga and Dr Emmanuel David Okumu, along with special guests Dr. Brian Twinemastiko and Dr. Ruzige Bashir

Rashid, as we explore the critical, real-world decisions made when the textbook meets

reality.

We Discuss

· How to build and narrow a differential for altered mental status

· Why dropping BP too fast can cause a stroke

· The pathophysiology of PRES (Posterior Reversible Encephalopathy Syndrome)

· Practical management in a resource-limited setting like Uganda

· Key pitfalls: oral antihypertensives, missed pulmonary edema, and nutrition neglect

Tune in to learn how to manage Altered Mental Status secondary to Hypertensive Encephalopathy a pragmatic approach.

Disclaimer: For Educational Purposes only, refer to guidelines for definitive management

Show Notes & Resources:

· Watch the Full Case Video: https://youtu.be/qZZ86tknD8k?si=Pczbbe-vqvcti80V

· Rosen’s Emergency Medicine

· Tintinalli’s Emergency Medicine

· BMJ 2024: Evaluation and Management of Hypertensive Emergency

· PubMed: 40818477, 10972386

· NEJM: 1990;323(17):1178–1184