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Medicine General 8edd772c

Which of the following statements regarding hypeensive crisis is false:

A
Hypeensive urgency is characterized by marked elevation of blood pressure and rapidly evolving end organ damage.
B
Hypeensive emergencies require immediate reduction of blood pressure within minutes
C
Hypeensive urgencies may be managed without extensive monitoring on an outpatient basis
D
None of the above
High-Yield Explanation
Answer is A (Hypeensive urgency is characterized by marked elevation of blood pressure and rapidly evolving end organ damage) Rapidly evolving end organ damage is a feature of hypeensive emergency and not hypeensive urgency. Hypeensive urgency is defined by a markedly elevated blood pressure usually in the same range as seen in hypeensive emergencies but without the rapid progression of target organ damage Hypeensive Crisis Hypeensive Emergencies Marked elevation of Blood pressure with rapidly evolving end organ damage. No fixed Blood pressure cut off values are defined but, in general the blood pressure values are as follows. Diastolic BP> 120: Systolic BP>220 Rapid /Immediate reduction of blood pressure is indicated in these patients Blood pressure should be controlled within hours (Preferably within 1 hours) Intensive monitoring in a critical care setting is mandatory Hypeensive urgencies Marked elevation of blood pressure without rapidly evolving end organ damage No fixed blood pressure cut off values are defined but in general the blood pressure values may approach the same range as seen in hypeensive emergencies Lowering of blood pressure is essential but immediate very rapid reduction is often not required Blood pressure should be controlled over a period of hours or days (Preferably within 24 hours) Intensive monitoring in a critical care setting is not always required If the patient is asymptomatic or clinically stable the patient can be managed as an outpatient with dose Mimi' up within days without an intensive monitoring setting usually with oval medications - Hurst 12110625

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