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perhaps iatrogenic orthostatic hypOtension? nm

Posted By: flybye...too late? on 2006-06-07
In Reply to: hydrogenic orthostatic hypertension - MT in CA

Subject: perhaps iatrogenic orthostatic hypOtension? nm




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it's orthostatic hypotension
Subject: it's orthostatic hypotension


yes, but also used to treat orthostatic hypotension sm
Subject: yes, but also used to treat orthostatic hypotension sm

Beta Blockers

Beta blockers have also been studied for the treatment of orthostatic hypotension.9 The three agents most widely studied are propranolol, piûdolol, and xamoterol. Propranolol’s mechanism of action is believed to be antagonism of beta-controlled vasodilator effects of catecholamines. Pindolol is a nonselective beta blocker with intrinsic sympathomimetic activity. Patients with orthostatic hypotension may have reduced sympathomimetic activity, and the agonist properties of pindolol account for its usefulness in these patients. Xamoterol, a partial beta1-selective agonist, has been shown to be useful in patients unable to tolerate pindolol. Because xamaterol is an investigational agent, its usefulness is limited. Nevertheless, a New Drug Application has been filed with the FDA.
orthostatic hypotension (blush!)
Subject: orthostatic hypotension (blush!)


I heard that orthostatic hypotension can cause urinary urgency
Subject: I heard that orthostatic hypotension can cause urinary urgency


iatrogenic fracture?................nm
Subject: iatrogenic fracture?................nm


could it be iatrogenic injury?
Subject: could it be iatrogenic injury?

xx
Maybe an iatrogenic tear, meaning one caused by the doc during
Subject: Maybe an iatrogenic tear, meaning one caused by the doc during

s
The Drug is 6-mercaptopurine, used in iatrogenic/autoimmune/inflammatory disorders....nm
Subject: The Drug is 6-mercaptopurine, used in iatrogenic/autoimmune/inflammatory disorders....nm

nm
could it be orthostatic? nm
Subject: could it be orthostatic? nm


orthostatic hypertension
Subject: orthostatic hypertension


Hypotension
Subject: Hypotension

Could they be saying orthostatic hypotension?
Hypotension? Often associated with these.
Subject: Hypotension? Often associated with these.

Doesn't really sound like your s/l though.


hydrogenic orthostatic hypertension
Subject: hydrogenic orthostatic hypertension

I'm pretty sure this is what the doctor is saying...just wondering if anyone has ever heard of it.  It's listed under Past Medical History by itself so no clues. The only word I'm somewhat unsure of is the hydrogenic.


 


hydrogenic orthostatic hypertension
Subject: hydrogenic orthostatic hypertension

it probably is iatrogenic (caused by medication) instead of hydrogenic. good luck.
Orthostatic blood pressure
Subject: Orthostatic blood pressure

How do you write orthostatic blood pressure values since there are 3 numbers?
sorry, s/l ru-static HYPOtension
Subject: sorry, s/l ru-static HYPOtension

Thank you
Pt with vertigo with s/l "a lith a tory" or with orthostatic changes. sm
Subject: Pt with vertigo with s/l "a lith a tory" or with orthostatic changes. sm

He states that he has lightheaded sensation and vertigo on change of position of the head, whether it is __ or with orthostatic positional changes.  (Later in dictation, doc says "His dizziness is associated with head position.  However, it is both with head turning side to side, as well as orthostasis.", so the word seems to be related to the turning head maybe??)
s/l mild derm and hypotension
Subject: s/l mild derm and hypotension

The patient has been doing well in rehab except for some s/l mild derm and hypotension.


TIA!


Hear positional hypotension often...nm
Subject: Hear positional hypotension often...nm

s
treatment for persistent hypotension--sm
Subject: treatment for persistent hypotension--sm

what I found for treating this was *vial of adenosine* or a vial of *sodium bicarbonate*.
would not list anything related to hypotension in there
Subject: would not list anything related to hypotension in there

Is the doctor perhaps trying a variation of no suicidal ideation or homicidal ideation as an abbreviation? (suicidal ideation/homicidal) That is what I hear mostly in that context.
Neuro help - postural hypotension
Subject: Neuro help - postural hypotension

The diagnosis is postural hypotension and during the exam the physician states

She has no post head shake nystagmus and she has no catch up s/l sick-ons that are noted after performing head thrust maneuvers.