MedBugs: SAQ #169

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Case: Aortic dissection

A 50-year-old man presents distressed and diaphoretic with severe chest pain radiating to the back. You are concerned about aortic dissection.

1. List five predisposing factors for aortic dissection. 5 marks

2. List four clinical signs and explain the relevance of each. 4 marks

3. List and justify three investigations for assessment of this condition. 3 marks

4. Define Stanford Type A and Type B aortic dissection. 2 marks

A Type A aortic dissection is confirmed on relevant imaging.

5. What is the definitive treatment for a confirmed Type A aortic dissection? 1 mark

6. Prioritise three drugs you would administer and state the therapeutic indication for each. 3 marks

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