13 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
the wall of the aorta ... Examine for: • Pulse ... deficit/differential ... Control blood pressure ... #management #vascular
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential ... dissection • ... drop in arterial pressure ... regurgitation ... Disorders #Cardiology #Differential
Aortic Dissection - Diagnosis and Acute Management
Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt
Aortic Dissection ... Pain: Chest, Back ... High or low BP, Pulse ... Surgeon. 1) Control Pain ... #aorta #vascular
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Widened Pulse Pressure ... Pulse Pressure = ... Pulse Pressure = ... - Aortic sclerosis ... #Pressure #Differential
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Causes of Wide Pulse ... Pressure - Differential ... Pathologic: • Valvular ... regurgitation ... #Pressure #Differential
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Signs: weight gain ... narrow proportional pulse ... pressure (pulse ... regurgitation or ... heartfailure #diagnosis #management
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
STEMI: - Hx: Pressure ... /V/diaphoresis Aortic ... Dissection: - ... PEX: New murmur, Pulse ... #Algorithm #differential
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Red Flags and Differential ... Bilateral • Pressure ... Eye/Temple • Pain ... Carotid/Vertebral Dissection ... primary #secondary #management
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Bleeding, abdominal pain ... • Should be on differential ... de novo between aorta ... or within the aorta ... #Summary #vascular
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
rupture, dissection ... of ascending aorta ... ) • Puimonary vascular ... types #diagnosis #management ... #criticalcare #differential