This document describes a case of aortic dissection presenting with various symptoms including chest pain, syncope, and neurological deficits. It outlines the patient's history of conditions like Marfan syndrome that increase risk of dissection. The physical exam may reveal abnormal blood pressure, heart sounds, pulses, and bruits. Tests ordered include bloodwork, imaging like CT scans, echocardiograms and MRI to confirm the diagnosis. The treatment plan involves medications, monitoring and follow up to manage the aortic dissection.
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This document describes a case of aortic dissection presenting with various symptoms including chest pain, syncope, and neurological deficits. It outlines the patient's history of conditions like Marfan syndrome that increase risk of dissection. The physical exam may reveal abnormal blood pressure, heart sounds, pulses, and bruits. Tests ordered include bloodwork, imaging like CT scans, echocardiograms and MRI to confirm the diagnosis. The treatment plan involves medications, monitoring and follow up to manage the aortic dissection.
This document describes a case of aortic dissection presenting with various symptoms including chest pain, syncope, and neurological deficits. It outlines the patient's history of conditions like Marfan syndrome that increase risk of dissection. The physical exam may reveal abnormal blood pressure, heart sounds, pulses, and bruits. Tests ordered include bloodwork, imaging like CT scans, echocardiograms and MRI to confirm the diagnosis. The treatment plan involves medications, monitoring and follow up to manage the aortic dissection.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
This document describes a case of aortic dissection presenting with various symptoms including chest pain, syncope, and neurological deficits. It outlines the patient's history of conditions like Marfan syndrome that increase risk of dissection. The physical exam may reveal abnormal blood pressure, heart sounds, pulses, and bruits. Tests ordered include bloodwork, imaging like CT scans, echocardiograms and MRI to confirm the diagnosis. The treatment plan involves medications, monitoring and follow up to manage the aortic dissection.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
SEVERITY: o Mild o Moderate o Severe o Absent o Normal o Increased o Decreased o Stable o No significant change from prior visit o Details HISTORY (PMFSH)
•Blood pressure o Increased o Decreased o Blood pressure differential of greater than 20 mm Hg •Heart o Muffled heart sounds o A new diastolic murmur •Pulse o Asymmetrical pulses o Carotid pulse Progression of bruits Development of bruits o Brachial pulse Progression of bruits Development of bruits o Femoral pulse Progression of bruits Development of bruits o Pulsus paradoxus o Jugular venous distension o Kussmaul sign
SPECIFIC DATA LIKE GRADING ETC
Anterior chest pain - Ascending aortic dissection
Neck or jaw pain - Aortic arch dissection Interscapular tearing or ripping pain - Descending aortic dissection
TESTS TO BE ORDERED
•Blood tests o CBP o BUN o Creatinine o Troponin o Creatine kinase (CK) o Hemoglobin and Hematocrit •Urine examination •D-dimer •Chest radiography •Angiography •CT scan •CT angiography •Echocardiography •USG •Transthoracic echocardiography (TTE) •Transesophageal echocardiography (TEE) •MRI •Contrast-enhanced magnetic resonance angiography (CE-MRA) •Contrast 3D MRA •ECG ASSESSMENT/PLAN & INSTRUCTIONS/EDUCATION
The Ideal Heart Healthy Diet Cookbook; The Superb Diet Guide To Lower Your Blood Pressure And Cholesterol Levels With Nutritious Low Sodium Low Fat Recipes
The Ideal Heart Healthy Diet Cookbook; The Superb Diet Guide To Lower Your Blood Pressure And Cholesterol Levels With Nutritious Low Sodium Low Fat Recipes
