58 year-old man presents with chest pain:
1) What is the diagnosis and management?
2) What is the patient’s prognosis?
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sliang
EM/IM Resident at Kings County/SUNY Downstate
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2 Comments
Brian · March 9, 2016 at 2:10 am
Dx – Aortic dissection.
Tx – Beta blocker (esmolol vs labetolol) then Nitro vs Nitroprusside
edenkim · March 14, 2016 at 10:49 am
I agree with Brian’s dx and tx, but would also add that the patient also appears to have a type A dissection, so CT surgery should be on board as well.