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3 Cards in this Set
- Front
- Back
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What is the score used to assess risk of aortic dissection? |
Aortic Disease Dissection |
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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 |
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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 |
