A 49-year-old woman with no relevant medical history presented with a 2-day history of headache and facial swelling. She was found to have severely elevated blood pressure at an urgent care center, prompting her transfer to the hospital. On review of systems, she endorsed anorexia and malaise for the past several days. She was in no acute distress but appeared languid. Her blood pressure was 210/110 mm Hg. Physical examination demonstrated periorbital and 1+ bipedal pitting edema. She had mild tenderness to percussion of both flanks.
Ng AM, Shah PH, Leavitt DA. Headache and Facial Swelling. JAMA Surg. 2016;151(5):483-484. doi:10.1001/jamasurg.2015.4722