M&M - Dr. Bronner
Case 1 - Lower extremity weakness
> Stanford classification - A involves the aortic root, B is limited to the descending aorta
> Prsenting sx of type B dissections- chest or back pain, abrupt onset of pain
> Imaging - CXR - 56,5% are nl, TTE - usef for aortic root, CT best sensitivity and specificity
Case 2 - Fatigue - dyspnea
b. Admitted to hospital - heparin drip stopped and echo gotten - shows right heart strain
c. CTA showed massive Bilateral PEs
Predictors of Complications from PE
Submassive PE - Rigth ventricle with dilitation and systolic dysfunction, CT - RV dysfunction, elevated BNP or troponin
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