Snapshot A 56-year-old woman with a history of poorly controlled hypertension presents to the emergency room with a severe headache, blurry vision, and proteinuria. Her blood pressure is 238/122 mmHg. Funduscopic exam demonstrates arteriolar narrowing and arteriovenous nicking. His neurological examination is unremarkable and his CT head without contrast does not demonstrate evidence of an intracranial hemorrhage or ischemic stroke. The patient is given intravenous labetalol. Introduction Overview login to view 6 more bullets Epidemiology Incidence login to view 3 more bullets Risk factors login to view 3 more bullets Etiology Pathophysiology login to view 17 more bullets Presentation Symptoms login to view 10 more bullets Physical exam login to view 17 more bullets Studies Diagnostic testing decisions should be guided by the findings on history and physical exam, as well as the presence or absence of risk factors login to view 10 more bullets Differential Acute ischemic stroke login to view 2 more bullets Hemorrhagic stroke login to view 2 more bullets Treatment Treatment goals login to view 11 more bullets Conservative login to view 13 more bullets Complications Death Sequelae of end-organ damage login to view 3 more bullets Prognosis Prognostic variable login to view 2 more bullets Survival with treatment login to view 2 more bullets