SAQ 1085 – Chest pain with ECG changes and suspected aortic dissection

A 65-year-old man presents to a regional ED with acute shortness of breath and severe chest pain radiating to his back. His observations are HR 125, BP 98/52, RR 22, oxygen saturation 96% on room air and temperature 37.2 degrees C.

Review the linked 12-lead ECG.

List four important features on the ECG.

(Marked out of 4.0)

/ 4

List four chest X-ray features that would increase suspicion of acute aortic dissection.

(Marked out of 4.0)

/ 4

What bedside ultrasound features would help distinguish acute MI from aortic dissection as the cause of shock?

(Marked out of 4.0)
</p> <table class="saq-prop-table" style="width: 100%; table-layout: fixed; max-width: 100%; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">Acute MI features</th> <th style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">Aortic dissection features</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">Findings</td> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 4

CT imaging is unavailable and you treat him for acute aortic dissection. List six management steps.

(Marked out of 6.0)

/ 6

List a classification system for aortic dissection.

(Marked out of 2.0)

/ 2

Total Score: 0 / 20

Percentage: 0%