POCUS for aortic dissection in the clinical presentation of ischemic stroke
How can you use POCUS for evaluation of dissection in the setting of ischemic stroke?
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aortic dissection
Ultrasound G.E.L. – Return of the Aortic Dissection
We are making some headway in the evidence behind using point-of-care ultrasound in aortic emergencies.
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Medical Malpractice Insights: Sudden collapse, hemiparesis & dysphasia – What’s the differential?
Dr. Chuck Pilcher covers a tough case of aortic dissection and syncope.
Medical Malpractice Insights: Chest pain, a widened mediastinum, and a discordant CT
Chuck Pilcher looks at a difficult case of aortic dissection in this month’s Medical Malpractice Insights.
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Aortic Dissection: Why do we miss it? How to improve?
Aortic dissection is deadly…. but why do we miss it, and how do we improve? This post from Drew Long provides pearls and pitfalls for your next shift.
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Aortic Dissection Repair Complications: ED presentations, evaluation, and management
Aortic dissection is deadly, and definitive treatment for type A and complicated type B dissections includes surgical repair. What complications may occur after repair?
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Medical Malpractice Insights: “You’re not having a heart attack”
Chest pain is common in the ED. What else besides ACS should you consider?
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CORE EM: Aortic Dissection
Aortic dissection may occur in any location along the aorta and therefore the range of presentations is broad. Many AD patients do not fit the textbook presentation.
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Acute Aortic Dissection
Aortic dissection is a life-threatening yet infrequent diagnosis, estimated at about three cases in every 100,000 person years (1,2). Because of its low frequency and emergency nature, large randomized controlled trials are difficult to conduct (3). Thus, the International Registry of Acute Aortic Dissection (IRAD) was established in 1996 to obtain up-to-date data on patients with acute aortic dissection. Currently, 30 large referral centers in 11 countries participate. Most novel research on aortic dissection is based on IRAD data. […]
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D-Dimer in Aortic Dissection Workup
“Higher d-dimer levels correlate with more segments of the aorta involved, with false lumen type dissections, and with higher mortality rates”
D-dimer has great sensitivity for aortic dissection, but its true clinical utility in the workup of this high-risk diagnosis remains undefined. Tim Schaefer, MD reviews diagnosis and management, as well as the recent literature on the role of the d-dimer.
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