Exam questionKROK 2Medicine ยท 2012
A 58-year-old patient complains of a headache in the occipital region, nausea, choking, opplotentes. The presentations appeared after a physical exertion. Objectively: the patient is excited. Face is hyperemic. Skin is pale. Heart sounds are regular, the 2nd aortic sound is accentuated. AP- 240/120 mm Hg, HR-92/min. Auscultation reveals some fine moisr rales in the lower parts of the lungs. Liver is not enlarged. ECG shows signs of hypertrophy and left ventricular overload. What is the most likely diagnosis?
Answer options
- Community-acquired pneumonia
- Uncomplicated hypertensic crisis
- Complicated hypertensic crisis
- Acute myocardial infarction, pulmonary edema
- Bronchial asthma exacerbation
Correct answer
Complicated hypertensic crisis
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