Believe it or not, someone presents to your ER with chest pain!

.

List 7 different presentations that would make you concerned for an aortic dissection.

1. Pain above and below the diaphragm.

2. Chest pain with a neurologic deficit.

3. Tearing pain that radiates to the back.

4.  Chest pain with unequal upper extremity blood pressures.

5. Chest pain with a pulseless extremity

6. Chest pain with hematuria

7. Chest pain with history/physical exam concerning for Marfan’s or Ehler’s Danlos, Turner Syndrome, or syphilis! Oddly, be concerned in patients with vasculitis (SLE, giant cell arteritis, rheumatoid arthritis, takayasu arteritis)

Sense of impending doom!

 

 

 

By Dr. Andrew Grock and Dr. Sally Bogoch

 

References

Rivers

uptodate.com

The following two tabs change content below.

andygrock

Latest posts by andygrock (see all)

Categories: EM Principles

0 Comments

Leave a Reply

Avatar placeholder

Your email address will not be published. Required fields are marked *

%d bloggers like this: