Images Earl Butler, text Genevieve Carbonatto A 55 year old lady presents with acute numbness to her right leg and “dizziness” lasting a few hours. No back pain. No chest pain. There are no other neurological symptoms. BP 175/85 HR 72/min, RR 16/min saturations 96% on room air. Because of the numbness in her leg Read more about Stanford type B dissection[…]
Images Dr Juan Chiang An 85 year old man is brought in by ambulance after a syncopal event. He was hypotensive on scene, BP 78/50. He is given fluid by the paramedics but remains hypotensive. He has no chest pain and is not short of breath. On arrival at the Emergency Department, he is alert, Read more about Dissection[…]
Images Bashir Antoine Chakar (Emergency registrar) Text Genevieve Carbonatto You get a BAT call. The ambulance are bringing in a 65 year old lady who developed acute onset chest pain radiating to her back. The paramedics tell you that she was found to be diaphoretic with a systolic BP of 130. Thinking this was an Read more about Type A dissection[…]
Images Sarah Vaughan (Emergency Registrar) text Genevieve Carbonatto There is a BAT call. The ambulance are bringing a 72 year old woman who suddenly , in front of her husband, was seen to slump to one side and appeared to have a left hemiplegia. In transit to hospital she has become less responsive and has Read more about Cardiac arrest : Aortic dissection[…]
Echo images Matthew Oliver (Emergency Physician) Text Genevieve Carbonatto There is a BAT call. The ambulance are bringing in a man with severe back pain. 5 minutes later a 70 year old man is wheeled into the rescusitation room. He is in severe distress. He states he was lifting a box when he developed severe Read more about Aortic Dissection – Stanford Type A[…]
Echo images Matthew Oliver (Emergency Physician) Text Genevieve Carbonatto There is a BAT call. The ambulance are bringing in a man with severe back pain. 5 minutes later a 70 year old man is wheeled into the rescusitation room. He is in severe distress. He states he was lifting a box when he developed severe Read more about Aortic Dissection – Stanford Type A[…]
Images by Genevieve Carbonatto Abdominal dissections are more common than ruptured aortic aneurysms. They are the most common aortic emergencies. The true lumen is often smaller than the false lumen as it is compressed by the false lumen. In most cases the aorta is not aneurysmal and will be less than 3cm in diameter. Ultrasound is Read more about Dissection[…]