Aortic dissection Flashcards
1
Q
where does blood go during an AD
A
between the tunica media and adventitia
2
Q
what tears in AD
A
intima
3
Q
what is the most common cause of AD
A
HTN
4
Q
what is a type A AD
A
dissection of the ascending aorta
a medical emergency!
5
Q
what is a type B AD
A
dissection sparing the AA
medical management
6
Q
what might you find on examination in AD
A
BP discrepancy
radio-radio delay
weak femoral pulses that may disappear and reappear
7
Q
what might you see on CXR in AD
A
widened mediastinum
pericardial effusion
8
Q
what are the 1st line Ix for suspected AD
A
blood
ecg
CXR
TTE echo
9
Q
how do you manage a type A AD
A
O2
analgesia
wide-bore cannula access
surgical
10
Q
how do you manage type B AD
A
O2
analgesia
wide bore cannula access
medical conservative management - tight BP control
