BMJ 2012: 344: 1 – 50

Patient with atypical chest pain?  Is it abrupt-onset and ripping, tearing, or stabbing in nature?  Then:

  • check pulse and BP in both arms
  • be alert for signs of shock
  • look for focal neurological symptoms/signs
  • look for limb ischaemia
  • when listening for heart sounds, check for an aortic regurgitation murmur

because it could be aortic dissection.  Predisposing factors include Marfan’s syndrome, a known thoracic aortic aneurysm, and recent aortic manipulation.

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About Dr Sarah

I'm a GP with a husband and two young children.
This entry was posted in BMJ, Cardiovascular, Credits 2012. Bookmark the permalink.

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