14 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... with chest/abd/back ... 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 ... Surgeon. 1) Control Pain ... #aorta #vascular
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Causes of Wide Pulse ... Pressure - Differential ... less compliant arteries ... Pathologic: • Valvular ... regurgitation
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
Back Pain - Differential ... . degenerative arthritis ... ) Referred Pain ... : • Aorta: Dissection ... #Pain #Differential
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
system • Mitral regurgitation ... Rheumatic fever • Aortic ... regurgitation - ... Diminished peripheral pulses ... #differential #
Aortitis - Diagnosis and Workup
Clinical History:
 - Fever, weight loss, deterioration of general health
 - Aortic
general health - Aortic ... valve regurgitation ... - Pain (back, ... , Takayasu arteritis ... Diagnosis #Workup #Differential
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
- Differential ... less compliant arteries ... Pathologic Causes: • Valvular ... disorders: - Aortic ... - Aortic sclerosis
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
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Red Flags and Differential ... Eye/Temple • Pain ... Thrombosis, Giant Cell Arteritis ... Carotid/Vertebral Dissection ... primary #secondary #management
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
acidosis, and Aortic ... dissection. ... event (low flow vascular ... retrosternal or back ... Necrosis #diagnosis #management