Orthostatic Hypotension

Orthostatic Hypotension. Chief Complaints A 75 yr old female attended opd C/O of two episodes of Dizziness with fall while getting up from bed since 3 days. No associated LOC, vomiting, slurring of speech, limb weakness, Tinnitus, palpitation, chest pain, Diaphoresis, convulsion, fever,tremor, memory loss, headache, loose stooletc. No H/O HTN, T2DM, Thyroid disorder, Substance abuse. Normal General Examination and systemic Examination except - Supine BP 190/80 mmhg Standing BP 140/80 mmhg after 3 mins. Pt also experienced Dizziness while getting up from supine position. No Nystagmus seen. Past H/O stroke 12 yrs back, no residual weakness at present. https://youtu.be/EB2uRZW4CFE target="_blank">https://youtu.be/EB2uRZW4CFE Diagnosis https://youtu.be/EB2uRZW4CFE

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Orthostatic hypertension is a physical finding, defind by American Autonomic Socity and America Academy of Neurology as a systolic bloid pressure decreases of at least 20 mmhg or a diastolic blood pressure decrease of at least 20 mm Hg with in 3 minutes of standing. As per the definition ,with the recording with in 3 mts, the Pt is having Orthostatic hypotension.Look for the cause .

Mam Please elaborate on treatment in this case.Should antihypertensives be used?Is fludrocortisone necessary?Thank you
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BP levels go in favour of Orthostatic Hypotension. Tilt table test may be useful for further clarification... Newer drug is now available for management ...

Please elaborate on treatment
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? Epilepsy Ad EEG CT scan brain After results of reports start treatment

What about murmers?

Patient is on any diuretic drug?

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