Aortic Dissection
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 24 March 2020
⏱️ 16 minutes
🧾️ Download transcript
Summary
Your next patient is a 62yo M brought to the emergency department complaining of acute onset chest pain that radiates to his neck.
The EKG is normal sinus rhythm (NSR) with no ischemic changes. The patient's blood pressure is 164/92 in the right arm; and 132/78 in the left arm.
What's the next step for this patient? What labs do we need? What imaging do we need? This is a patient who very well may die today if you don't do things correctly and quickly.
Today on the Medgeek's podcast we discuss Aortic Dissection.
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Transcript
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| 0:00.0 | Your next patient is a 62 year old male brought to the emergency department complaining of acute onset chest pain that radiates to his neck. |
| 0:08.0 | The EKG is normal sinus rhythm with no ischemic changes. |
| 0:11.3 | The patient's blood pressure is 164 over 92 in the right arm. no is |
| 0:13.3 | the |
| 0:14.3 | the |
| 0:18.5 | the patient's blood pressure is 164 over 92 in the right arm |
| 0:15.1 | 132 over 78 in the left arm |
| 0:18.8 | what's the next step for this patient |
| 0:21.4 | what labs do we need what imaging do we need this is a patient who very well may die today if you don't do things correctly |
| 0:28.8 | and quickly today on the med geeks podcast we discuss aortic dissection. Hello and today, as I mentioned, |
| 0:45.0 | I'm going to be here. |
| 0:46.0 | Hello and welcome everybody to the Med Geek's podcast. |
| 0:52.0 | This is Eric, your host your host and today as I mentioned we're going to be discussing aortic dissection |
| 0:57.2 | This is one of the classic can't miss |
| 1:01.2 | Extremely deadly causes of chest pain. We're going to discuss pathophysiology, risk factors, history, physical diagnosis, and of course management. |
| 1:11.0 | All the high points you need for your clinical practice, or for your prep for the boards. |
| 1:15.9 | So as with most disease processes, it's so important to understand the underlying anatomy, right? In this case we're talking about the aorta. |
| 1:25.0 | Dissection is a disruption of the layers of the aorta. So you've got the Intima, the |
| 1:30.3 | media, and the adventicia. |
| 1:32.5 | So those are the three layers of the aorta from inside to out. |
| 1:36.0 | Intima, media, then the adventicia. |
| 1:38.0 | The way a dissection happens is you get a small tear |
... |
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