To continue discussing the chest pain patient from last week…(you remember, the syphilitic patient with Turner Syndrome who presents with tearing chest and epigastric pain radiating to the back with unequal upper extremity blood pressures, a pulseless leg, neurologic deficits)
What Chest X-Ray findings can you see here?
1. Large mediastinum
2. Blurred aortic knob
3. Left sided pleural effusion
4. Enlarged thoracic aorta compared with previous
5. “eggshell” sign – enlarged aortic shadow outside of calcified aortic wall
6. Aorta with two different densities
7. Deviation of trachea or depressed left mainstem bronchus
How are aortic dissections classified?
DeBakey: Type 1 – Ascending and Descending aorta
Type 2 – Ascending aorta only
Type 3 – Descending aorta only
Stanford:Â Type A – Ascending aorta only
Type B – Descending aorta only
Diagnose Aortic Dissection?
Aortic Dissection Treatment?
By Dr. Andrew Grock and Dr. Sally Bogoch
References
Rivers
uptodate
andygrock
Latest posts by andygrock (see all)
- Levamisole Toxicity - May 26, 2015
- Of Course, US Only for Kidney Stones… - May 18, 2015
- Case of the Month 11: Answer - May 12, 2015
0 Comments