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Hypertensive crisis

Prevalence
Causes
Clinical features
Investigations
Therapy
Prognosis
Investigations
  • Urinalysis and urgent microscopy  

Why?

Absence of blood or protein on urine dipstick makes glomerular disease less likely

Patient Target Disorder and
Reference Standard
Diagnostic Test LR+
(95% CI)
Post-test Probability LR-
(95% CI)
Post-test Probability
undergoing renal biopsy b (pre-test probability: 3%) glomerular disease
( renal biopsy )
blood on dipstick 2.7
(1.6 to 4.5)
8% 0.16
(0.067 to 0.38)
0.5%
    protein 2+ or more on dipstick 1.9
(1.2 to 2.9)
6% 0.34
(0.17 to 0.66)
1%

Expiry date: March 2004
Levels of Evidence used in grading these guides

Authors   N   Shenker , CM   Ball
Reviewers   S   Hsu , C   Clase
CAT Writers   N   Shenker , CM   Ball