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Revision as of 22:50, 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:

❑ Pericardial effusion

❑ Regional wall motion abnormality (RWMA)

❑ Dilated root

❑ Aortic regurgitation (AR)

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

@@ Line 3: / Line 3: @@
 {{familytree | | | | | | | | | | |!| | | | | | | | | | | | }}
 {{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)<br>
-❑ Asymmetric blood pressure in extremities
+:❑ Asymmetric blood pressure in extremities<br>
-❑ Shock
+:❑ Shock <br>
-❑ Pulse deficit
+:❑ Pulse deficit <br>
-❑ Evolving aortic regurgitation murmur </div>}}
+:❑ Evolving aortic regurgitation murmur </div>}}
 {{familytree | | | | | | |,|-|-|-|^|-|-|-|.| | | | | | | | }}
 {{familytree | | | | | | C01 | | | | | | C02 | | | | | | |C01=<div style=" background: #F60A0A"> {{fontcolor|#F8F8FF|Unstable patient}} </div>|C02=Stable patient }}

Sandbox vidit: Difference between revisions

Revision as of 22:50, 31 March 2014

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