Aortic Dissection - Diagnosis and Management Summary
 ...
351
Description

Aortic Dissection - Diagnosis and Management Summary

 • HPI: sudden onset, "tearing" chest pain, radiation to back, may have concurrent stroke-like symptoms

 • Risk Factors: Male, yo, HTN, cocaine, tobacco use, connective tissue disorder syphilis, FHx

 • Imaging: CTA Dissection protocol

 • Classification:

    - Type A (includes ascending aorta)

    - Type B (distal to subclavian artery)

Management:

 • Type A = emergent surgical intervention

 • Type B = medical management

     - Goal HR < 60 bpm (esmolol, metoprolol, labetalol)

     - goal SBP 90-100 (nitroprusside, nicardipine)

     - reversal of anticoagulation



- MH/CCF/CWRU EM Res @MetroHealth_EM



#Aortic #Dissection #Diagnosis #Management #summary #treatment
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
Medical jobs
view all

0 Comments

Related content