Please enable JavaScript.
Coggle requires JavaScript to display documents.
PRES Syndrome - Coggle Diagram
PRES Syndrome
-
Why all of this matters
8 months ago the patient was rushed to the ER following a car crash where they realized that the patient had a seizure. in the car
Within that same hospital. stay, they found renal failure and rhabdomylsis. For the last 8 months he has been seeing doctor after doctor trying to figure out what happened to him because he went from being a healthy college student to having renal failure, seizures caused by PRES syndrome, uncontrolled hypertension, and rhabdomylsis
-
-
SO.... The crash. caused the rhabdomylsis, which caused the kidney failure and the PRES syndrome caused the seizure and the uncontrollable. hypertension, but what caused the PRES syndrome and the seizure to begin with you might ask??:
Welll, one of the risk factors of PRES syndrome is infection. The patient had no previous history of infections prior to this incident, however new literature as recently arisen on the intersection and connection between COVID. While the patient denied having ever been diagnosed with COVID, we know that COVID can be sneaky and be asymptomatic, so him being diagnosied officially with COVID. doesn't really rule out the possibility that COVID could have caused this
Today the patient was in the hospital presenting with a new rash which then had been diagnosed as petechia
-
-
The patient currently presents with a low platelet count and his d dimer. was slightly. elevated in admission.
-
This is important because as a rurse I would probably request from the doctor a consult to Hemo as the patient seems to have signs of a blood disorder of some kind
PRES Syndrome (Posterior Reversible Encephalopy Syndrome) is a radiologic condition. characterized by. a headache, seizure, altered mental status, vision loss,
PRES syndrome is commonly associated with. uncontrollable hypertension, renal disease, preeclampsia, autoimmune disorders, and cytotoxic medications
PRES syndrome typically presents on imaging studies as posterior-predominant white matter vasogenic edema
The pathology of PRES syndrome remains unknown, however there are two major theories that present in medical articles currently
Theory 1
-
-
-
An over run auto regulation system causes stress on the blood brain barrier which causes vascular leakage
-
With PRES syndrome, while seizures are common, epilepsy is extremely rare
-
-