Hypertensive Emergency with Sudden Subconjunctival Hemorrhage, Chronic Kidney Failure, and Hypertensive Retinopathy in Breast Cancer Survivor: Case Report

Coana Sukmagautama (Internal Medicine Department, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia.)
Agni Shalha Ali (Clinical Clerkship Education, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia.)
Aiman Hilmi Asaduddin (Clinical Clerkship Education, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia)
Ummu Ma’rifatul Afifah (Clinical Clerkship Education, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia)

Smart Medical Journal
Vol 5, No 3 (2022): Smart Medical Journal

Introduction: Hypertensive emergency is a life-threatening condition of very high blood pressure associated with acute end-organ damage that requires appropriate therapy to treat progressive organ dysfunction.Case presentation: 44-years-old breast cancer survivor woman with severe hypertension and sudden left eye bleeding. The blood pressure was 213/115 mmHg. The patient also had chronic kidney failure and hypertensive retinopathy as hypertension complications. The laboratory examination showed an abnormal lipid profile and the presence of proteinuria and bacteriuria from the urinalysis.Discussion and conclusion: Subconjunctival hemorrhage (SCH) presentation can indicate any serious underlying etiology that needs prompt treatment as in this patient requiring further evaluations. Aggressive treatment was given to reduce blood pressure and further observations for SCH.Keywords: hypertension; subconjunctival hemorrhage; chronic kidney failure; hypertensive retinopathy