12 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... the wall of the aorta ... Examine for: • Pulse ... deficit/differential ... #management #vascular
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 ... #Management #treatment ... #aorta #vascular
Aortic Dissection - Diagnosis and Management Summary
 • HPI: sudden onset, "tearing" chest pain, radiation to
Aortic Dissection ... tearing" chest pain ... • Imaging: CTA Dissection ... includes ascending aorta ... #treatment
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
and Management ... /V/diaphoresis Aortic ... Dissection: - ... PEX: New murmur, Pulse ... #Algorithm #differential
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
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 • Direct lesion contact during sex is responsible
Symmetric macular ... ascending thoracic aorta ... resulting in a dilated aorta ... regurgitation. ... stages #diagnosis #management
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
Mediastinal Mass - Differential Diagnosis Framework

Anterior Mediastinal Mass - 5T’s
 • Thymic neoplasm
 • Teratoma (or
Mediastinal Mass - Differential ... Lymphoma • Thoracic aorta ... dissection ... breath • Chest pain ... Mediastinal #Mass #Differential
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
acidosis, and Aortic ... dissection. ... event (low flow vascular ... : - Treatment of ... Necrosis #diagnosis #management
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Vasculitides - Differential ... and bullous or vesicular ... < 30 years - Aorta ... branches • GCA: - Aorta ... diminished, or tender pulses