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:Sudden onset chest pain (tearing/ripping/sharp or stabbing) | {{familytree | | | | | | | | | | B01 | | | | | | | | | | |B01=❑ Look for the following cardinal signs & symptoms: <br> | ||
❑ Sudden onset chest pain (tearing/ripping/sharp or stabbing) | |||
❑ Asymmetric blood pressure in extremities | |||
❑ Shock | |||
❑ Pulse deficit | |||
❑ Evolving aortic regurgitation murmur}} | |||
{{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 }} | ||
Revision as of 22:42, 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