SAQ 1709 – Severe chest pain radiating to the back

A 65-year-old man presents with severe central chest pain radiating through to his back. You are concerned about thoracic aortic dissection.

List four examination findings that would favour aortic dissection over acute coronary syndrome.

(Marked out of 4.0)

/ 4

Stanford type A aortic dissection is confirmed on imaging. He takes rivaroxaban for paroxysmal atrial fibrillation and has the vital signs shown below. List six management components, including endpoints where appropriate.

(Marked out of 6.0)

/ 6

While awaiting definitive management, he becomes hypotensive at 70/40 mmHg. List four potential causes of hypotension. For each, state the assessment finding that will confirm its presence.

(Marked out of 8.0)

/ 8

Total Score: 0 / 18

Percentage: 0%