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What is the score used to assess risk of aortic dissection?
Aortic Disease Dissection
What are the high risk conditions, high risk pain features and high risk exam features of aortic dissection?
Conditions - Marfans/connective tissue disorders, aortic valve disease, known thoracic aortic aneurysm, prev aortic manipulation.
Pain features - any chest/back/abdo pain described as abrupt, severe intensity, ripping, tearing.
Exam features - perfusive deficit - (pulse deficit, systolic BP difference) neurology, aortic diastolic murmur (new), shock
High risk more than or equal to 2 features present - urgent CT, referral to surg. 0-1 - ddimer and cxr
Suspect endocarditis if fever + any of these ...
-hx of endocarditis
-hx IV drug use
-cardiac - new conductive disease, new HF, new valve disease
- vascular or immunologic phenomena - Roth’s spots, oslers nodes, embolic events, janeway lesions
-peripheral abscess - renal, spleen, vertebral, central
-PE
-non specific neuro
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