14 results
Type A Aortic Dissection with Aortic Regurg Jet on POCUS

Sudden onset chest pain. Disturbingly normal vitals.
Sudden onset chest pain ... No pulse in LLE. ... VCU Ultrasound @ ... #Dissection #Aorta ... POCUS #Clinical #Ultrasound
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential ... Diagnosis Algorithm ... tamponade • AECOPD/ Acute ... Disorders #Cardiology #Differential ... #Diagnosis #Algorithm
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
the wall of the aorta ... chest/abd/back pain ... Examine for: • Pulse ... deficit/differential ... BP: • Control pain
Aortic Dissection - Diagnosis and Acute Management
Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt
Diagnosis and Acute ... Management Pain ... High or low BP, Pulse ... Surgeon. 1) Control Pain ... Management #treatment #aorta
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... History and Exam Acute ... infarction • Aortic ... EKG • Bedside ultrasound
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... Pain (<72 hours ... ) - Differential ... Diagnostic Algorithm ... Ruptured abdominal aortic
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
and Management Algorithm ... /V/diaphoresis Aortic ... PEX: New murmur, Pulse ... Pneumothorax: - Hx: Acute ... #differential
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Limb ischemia • Aortic ... Immobilization) • Acute ... refill - Poor pulses ... extremity #msk #physicalexam
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 ... patients with acute ... or within the aorta
Vasculitis and Vasculitides - Differential Diagnosis Framework

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