Sandbox vidit: Difference between revisions
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{{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"> {{fontcolor|#F8F8FF|Order urgent TTE <br> Look for the following high risk features: <br> Pericardial effusion | {{familytree | | | | | | D01 | | | | | | D02 | | | | | | |D01=<div style="text-align: left ; background: #F60A0A"> {{fontcolor|#F8F8FF|Order urgent TTE <br> Look for the following high risk features: <br> | ||
❑ Pericardial effusion | |||
❑ Regional wall motion abnormality (RWMA) | |||
❑ Dilated root | |||
❑ Aortic regurgitation (AR)}} </div> |D02=Continue with diagnostic approach }} | |||
{{familytree | | | | | | |!| | | | | | | | | | | | | | | | }} | {{familytree | | | | | | |!| | | | | | | | | | | | | | | | }} | ||
{{familytree | | | | | | E01 | | | | | | | | | | | | | | |E01=<div style=" background: #F60A0A"> {{fontcolor|#F8F8FF|Aortic dissection confirmed | {{familytree | | | | | | E01 | | | | | | | | | | | | | | |E01=<div style=" text-align: left ; background: #F60A0A"> {{fontcolor|#F8F8FF|❑ Aortic dissection confirmed | ||
❑ Transfer to Cardio-thoracic unit | |||
❑ Perform TEE in CCU or cardiac OR }} </div>}} | |||
{{familytree | | | | | | | | | | | | | | | | | | | | | | | }} | {{familytree | | | | | | | | | | | | | | | | | | | | | | | }} | ||
{{familytree | | | | | | F01 | | | | | | | | | | | | | | |F01=<div style=" background: #F60A0A"> {{fontcolor|#F8F8FF|Proceed to surgery}} </div> }} | {{familytree | | | | | | F01 | | | | | | | | | | | | | | |F01=<div style=" background: #F60A0A"> {{fontcolor|#F8F8FF|❑ Proceed to surgery}} </div> }} | ||
{{familytree/end}} | {{familytree/end}} | ||
Look for the following: Intimal flap and tear <br> Intimal entry <br> Mobile linear flap in short axis view <br> Small central true lumen communicating with false lumen | Look for the following: Intimal flap and tear <br> Intimal entry <br> Mobile linear flap in short axis view <br> Small central true lumen communicating with false lumen | ||
Revision as of 22:45, 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