XR Vision: Another Chest Pain

58 year-old man presents with chest pain:

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1) What is the diagnosis and management?

2) What is the patient’s prognosis?

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EM/IM Resident at Kings County/SUNY Downstate

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2 comments for “XR Vision: Another Chest Pain

  1. Brian
    March 9, 2016 at 2:10 am

    Dx – Aortic dissection.
    Tx – Beta blocker (esmolol vs labetolol) then Nitro vs Nitroprusside

  2. 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.

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