13 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
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 • Direct lesion contact during sex is responsible
. 2) Secondary ... Symmetric macular ... Aortitis, ascending thoracic ... #Syphilis #stages ... #diagnosis #management
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
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
risk (>5%): - Aortic ... one post op Cardiology ... Severe Aortic stenosis ... upper abdominal/thoracic ... medical and surgical management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... Marantic (NTBE) Differential ... Viridans Surgery ... Endocarditis #diagnosis #management ... #cardiology
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Causes of Secondary ... Stage 2 hypertension ... Stage 3 hypertension ... Causes: • Vascular ... Coarctation of aorta
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 ... Viridans Surgery ... #Diagnosis #cardiology
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
and Signs: 50% pts ... >40C), mental status ... , and, rarely, secondary ... of anesthesia, surgery ... and then surgery
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
cortical lesions • Vascular ... narrowing on MRA/CTA ... Reversible course Differential ... epilepticus Treatment ... Syndrome #diagnosis #management