17 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
• Cardiac surgery ... catheterization • Thoracic ... Pulse deficit/differential ... deficit • Shock Treatment ... #vascular
Aortic Dissection - Diagnosis and Acute Management
Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt
Aortic Dissection ... Diagnose with CTA ... Call CV Surgeon. ... #treatment #aorta ... #vascular
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Diagnosis and Management ... • Should be on differential ... • Secondary AEF ... Management: SURGERY ... #Summary #vascular
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 • Direct lesion contact during sex is responsible
. 2) Secondary ... Symmetric macular ... Aortitis, ascending thoracic ... : • Primary, secondary ... stages #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... insult due to vascular ... Marantic (NTBE) Differential ... Viridans Surgery ... Endocarditis #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
risk (>5%): - Aortic ... - Peripheral vascular ... Severe Aortic stenosis ... upper abdominal/thoracic ... medical and surgical management
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
and Signs: 50% pts ... , and, rarely, secondary ... of anesthesia, surgery ... and then surgery ... #treatment
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... Ovarian CA, involves aortic ... hematuria, + RF Treatment ... antibiotics • Surgery ... Viridans Surgery
This is a suprasternal notch view demonstrating an aortic flap in a patient with a Stanford
Stanford Type B thoracic ... allowed the CV surgeon ... the confirmatory CTA ... and standard treatment ... rapid diagnosis of thoracic
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Causes of Secondary ... Hypertension - Workup and Differential ... Causes: • Vascular ... Coarctation of aorta ... apnea: CPAP, most pts