Diferencia entre revisiones de «Traumatic aortic transection»
Sin resumen de edición |
Sin resumen de edición |
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''Not to be confused with | ''Not to be confused with [[nontraumatic thoracic aortic dissection]]'' | ||
==Background== | ==Background== | ||
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==See Also== | ==See Also== | ||
[[Thoracic | [[Thoracic trauma]] | ||
[[Category:Cards]] | [[Category:Cards]] | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Revisión del 04:31 28 dic 2014
Not to be confused with nontraumatic thoracic aortic dissection
Background
- Pt often asymptomatic but die w/o warning (80% die at scene)
- Hypotension NOT from ruptured aorta (just die)
- Need high suspicion to diagnose
Diagnosis
- CXR
- Widened mediastinum(>8cm on supine film)
- CT
- Good for aorta but not for branch vessels
- Aortography
- Gold standard
- 25% have complications (i.e. infection & hematoma)
Differential Diagnosis
Thoracic Trauma
- Airway/Pulmonary
- Cardiac/Vascular
- Musculoskeletal
- Other
Treatment
- Keep SBP <120 w/ alpha/beta blockers