Sandbox vidit: Difference between revisions
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{{familytree | | | | | | | | | | A01 | | | | | | | | | | |A01=Suspected aortic dissection }} | {{familytree | | | | | | | | | | A01 | | | | | | | | | | |A01=Suspected aortic dissection }} | ||
{{familytree | | | | | | | | | | |!| | | | | | | | | | | | }} | {{familytree | | | | | | | | | | |!| | | | | | | | | | | | }} | ||
{{familytree | | | | | | | | | | B01 | | | | | | | | | | |B01=❑ Look for the following cardinal signs & symptoms: <br> | {{familytree | | | | | | | | | | B01 | | | | | | | | | | |B01=<div style="text-align: left">❑ Look for the following cardinal signs & symptoms: <br> | ||
❑ Sudden onset chest pain (tearing/ripping/sharp or stabbing) | ❑ Sudden onset chest pain (tearing/ripping/sharp or stabbing) | ||
❑ Asymmetric blood pressure in extremities | ❑ Asymmetric blood pressure in extremities | ||
❑ Shock | ❑ Shock | ||
❑ Pulse deficit | ❑ Pulse deficit | ||
❑ Evolving aortic regurgitation murmur}} | ❑ Evolving aortic regurgitation murmur </div>}} | ||
{{familytree | | | | | | |,|-|-|-|^|-|-|-|.| | | | | | | | }} | {{familytree | | | | | | |,|-|-|-|^|-|-|-|.| | | | | | | | }} | ||
{{familytree | | | | | | C01 | | | | | | C02 | | | | | | |C01=<div style=" background: #F60A0A"> {{fontcolor|#F8F8FF|Unstable patient}} </div>|C02=Stable patient }} | {{familytree | | | | | | C01 | | | | | | C02 | | | | | | |C01=<div style=" background: #F60A0A"> {{fontcolor|#F8F8FF|Unstable patient}} </div>|C02=Stable patient }} | ||
{{familytree | | | | | | |!| | | | | | | |!| | | | | | | | }} | {{familytree | | | | | | |!| | | | | | | |!| | | | | | | | }} | ||
{{familytree | | | | | | D01 | | | | | | D02 | | | | | | |D01=<div style="background: #F60A0A; text-align: left"> {{fontcolor|#F8F8FF|Order urgent TTE <br> Look for the following high risk features: <br> | {{familytree | | | | | | D01 | | | | | | D02 | | | | | | |D01=<div style="background: #F60A0A; text-align: left"> {{fontcolor|#F8F8FF|❑ Order urgent TTE <br> ❑ Look for the following high risk features: <br> | ||
❑ Pericardial effusion | :❑ Pericardial effusion <br> | ||
❑ Regional wall motion abnormality (RWMA) | :❑ Regional wall motion abnormality (RWMA) <br> | ||
❑ Dilated root | :❑ Dilated root <br> | ||
❑ Aortic regurgitation (AR)}} </div> |D02=Continue with diagnostic approach }} | :❑ Aortic regurgitation (AR)}} </div> |D02=Continue with diagnostic approach }} | ||
{{familytree | | | | | | |!| | | | | | | | | | | | | | | | }} | {{familytree | | | | | | |!| | | | | | | | | | | | | | | | }} | ||
{{familytree | | | | | | E01 | | | | | | | | | | | | | | |E01=<div style=" background: #F60A0A; text-align: left"> {{fontcolor|#F8F8FF|❑ Aortic dissection confirmed | {{familytree | | | | | | E01 | | | | | | | | | | | | | | |E01=<div style=" background: #F60A0A; text-align: left"> {{fontcolor|#F8F8FF|❑ Aortic dissection confirmed | ||
Revision as of 22:48, 31 March 2014
| Suspected aortic dissection | |||||||||||||||||||||||||||||||||||||||||||||
❑ Look for the following cardinal signs & symptoms: ❑ Sudden onset chest pain (tearing/ripping/sharp or stabbing) ❑ Asymmetric blood pressure in extremities ❑ Shock ❑ Pulse deficit ❑ Evolving aortic regurgitation murmur | |||||||||||||||||||||||||||||||||||||||||||||
Unstable patient | Stable patient | ||||||||||||||||||||||||||||||||||||||||||||
❑ Order urgent TTE ❑ Look for the following high risk features:
| Continue with diagnostic approach | ||||||||||||||||||||||||||||||||||||||||||||
❑ Aortic dissection confirmed
❑ Transfer to Cardio-thoracic unit ❑ Perform TEE in CCU or cardiac OR | |||||||||||||||||||||||||||||||||||||||||||||
❑ Proceed to surgery | |||||||||||||||||||||||||||||||||||||||||||||
Look for the following: Intimal flap and tear
Intimal entry
Mobile linear flap in short axis view
Small central true lumen communicating with false lumen