aortic dissection
ysemak - 01-14-10 09:25 Bookmark and Share

A 50yo man with poorly controlled hypertension presents with severe chest pain radiating to his back. An ACG reveals no significant abnormalities. A CT scan demonstrates descending thoracic aortic dissection to above the iliac bifurcation. Urine output is 40-60cc/h. extremities are warm, capill. refill- <2s.
What is most appropriate initial management?






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#1
Re: aortic dissection
conym5 - 01-14-10 11:03

My answer is: d.


most appropriate initial management would always be Intitiation of a beta blocker or any other anti hyprertension treatment. surgery is the next step after therapy...

#2
Re: aortic dissection
oldman - 01-14-10 12:26

My answer is: d.

#3
Re: aortic dissection
drmead - 01-15-10 10:34

My answer is: a.

#4
Re: aortic dissection
mtniharika - 01-17-10 13:13

My answer is: d.


in the case of an uncomplicated distal aortic dissections (including abdominal aortic dissections), medical management is preferred over surgical treatment
To reduce the shear stress, a vasodilator such as sodium nitroprusside should be used with a beta blocker, such as esmolol, propranolol, or labetalol. The alpha-blocking properties of labetalol make it especially attractive in this situation.

#5
Re: aortic dissection
souvikadhikari - 01-17-10 16:06

My answer is: a.

#6
Re: aortic dissection
juliar - 01-18-10 04:07

My answer is: a.

#7
Re: aortic dissection
drbasim - 01-19-10 20:29

My answer is: a.

#8
Re: aortic dissection
stanikzai - 01-21-10 19:25

My answer is: a.

#9
Re: aortic dissection
nidayasir - 01-22-10 11:40

My answer is: c.

#10
Re: aortic dissection
waqarhafeez - 01-24-10 09:13

My answer is: d.

#11
Re: aortic dissection
bingousmle - 01-24-10 13:52

My answer is: a.

#12
Re: aortic dissection
khaled - 01-24-10 16:42

My answer is: b.

#13
Re: aortic dissection
deepthireddy - 01-27-10 07:17

My answer is: b.

#14
Re: aortic dissection
sulamita - 01-27-10 13:30

My answer is: a.

#15
Re: aortic dissection
shahra - 01-28-10 05:30

My answer is: b.

#16
Re: aortic dissection
komalz - 02-01-10 20:28

My answer is: a.

#17
Re: aortic dissection
tamaramahmood - 02-01-10 20:39

My answer is: c.

#18
Re: aortic dissection
nothing - 02-04-10 11:38

My answer is: d.

#19
Re: aortic dissection
tahiraraees - 02-07-10 01:10

My answer is: b.

#20
Re: aortic dissection
ssaammii134 - 02-07-10 03:35

My answer is: a.

#21
Re: aortic dissection
tianjin - 02-07-10 05:26

My answer is: a.

#22
Re: aortic dissection
ammulufy - 03-24-10 19:01

My answer is: a.

#23
Re: aortic dissection
enas3110 - 03-24-10 20:23

My answer is: a.

#24
Re: aortic dissection
pawan238 - 03-25-10 04:48

My answer is: d.

#25
Re: aortic dissection
medic - 03-25-10 07:16

My answer is: e.

#26
Re: aortic dissection
residencyrace - 05-30-10 10:10

My answer is: d.

#27
Re: aortic dissection
nikoskostas - 05-30-10 12:52

My answer is: a.

#28
Re: aortic dissection
wanali - 12-02-10 14:01

My answer is: d.

#29
Re: aortic dissection
drhasanzahid - 12-03-10 15:02

My answer is: a.

#30
Re: aortic dissection
nokiae71 - 12-06-10 12:00

My answer is: d.

#31
Re: aortic dissection
amnakhider - 12-08-10 01:14

My answer is: a.

#32
Re: aortic dissection
mutunzi99 - 12-08-10 04:12

My answer is: d.

#33
Re: aortic dissection
kwasiprince - 12-08-10 11:26

My answer is: d.

#34
Re: aortic dissection
zampaoverture - 12-08-10 16:08

My answer is: d.

#35
Re: aortic dissection
amr1994 - 12-08-10 20:33

My answer is: b.

#36
Re: aortic dissection
sudha2015 - 12-27-10 18:39

My answer is: a.

#37
Re: aortic dissection
rescue2011 - 04-04-11 01:03

My answer is: a.

#38
Re: aortic dissection
svgzzz - 04-08-11 07:32

My answer is: a.

#39
Re: aortic dissection
doctors202 - 04-08-11 09:13

My answer is: a.

#40
Re: aortic dissection
victoria12 - 04-08-11 18:32

My answer is: d.

#41
Re: aortic dissection
usmleus - 09-08-11 17:38

My answer is: d.

#42
Re: aortic dissection
ag2011n - 09-12-11 15:52

My answer is: d.

#43
Re: aortic dissection
drmonia57 - 09-19-11 16:04

My answer is: a.

#44
Re: aortic dissection
dr_ryha - 10-05-11 23:04

My answer is: d.

#45
Re: aortic dissection
medical1212 - 10-06-11 01:29

My answer is: d.

#46
Re: aortic dissection
drraman007 - 10-08-11 08:14

My answer is: e.

#47
Re: aortic dissection
juniapapillon - 10-09-11 14:13

My answer is: d.

#48
Re: aortic dissection
chowdhury84 - 12-22-11 21:23

My answer is: d.

#49
Re: aortic dissection
shaiza - 04-02-12 17:03

My answer is: d.

#50
Re: aortic dissection
theinsan - 05-22-12 00:39

My answer is: d.

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