Aortic Dissection

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Introduction

 

 

The Case of...

a simple case introducing clincial presentation and calling for a differential diagnosis to get students thinking.

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Causes and Risk Factors

 

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Pathophysiology

 

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Signs and Symptoms

  • history
  • physical exam

History

 

Physical Exam

 

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Investigations

  • lab investigations
  • imaging
Content 1

Imaging

Contrast-enhanced CT of the aorta

Bedside ultrasound may be helpful in unstable patients

 

  • widened mediastinum
  • loss of aortic knuckle
  • deviation of trachea
  • pleaural cap
  • # of 1st or 2nd rib or scapula
  • elevation of right mainstem bronchus
  • depression of left mainstem bronchus
  • obliteration of aortopulmonary window
  • deviation of esophagus

 

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Differential Diagnosis

 

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Treatments

 

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Consequences and Course

 

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Resources and References

 

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Topic Development

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