MedBugs: SAQ #383

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Case: Acute aortic dissection

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

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

2. List four signs you would look for on clinical examination and explain the relevance of each. 4 marks

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

4. Complete the table below defining the categories of each Stanford type of aortic dissection 2 marks

A Type A aortic dissection is confirmed on relevant imaging

5. What is the definitive treatment for this condition? 1 mark

6. Prioritise (3) drugs you would administer along with a therapeutic indication for each 3 marks

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