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" Detection of Type B Aortic Dissection in the Emergency Department with Point-of-Care Ultrasound "
Earl-Royal, Emily; Nguyen, Phi D.; Alvarez, Al’ai; Gharahbaghian, Laleh
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AL
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| Record Number
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928090
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| Doc. No
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LA7jf15054
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| Language of Document
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English
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| Main Entry
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Earl-Royal, Emily; Nguyen, Phi D.; Alvarez, Al’ai; Gharahbaghian, Laleh
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| Title & Author
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Detection of Type B Aortic Dissection in the Emergency Department with Point-of-Care Ultrasound [Article]\ Earl-Royal, Emily; Nguyen, Phi D.; Alvarez, Al’ai; Gharahbaghian, Laleh
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| Title of Periodical
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Clinical Practice and Cases in Emergency Medicine
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| Volume/ Issue Number
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3/3
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| Date
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2019
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| Abstract
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Aortic dissection (AD) is a rare, time-sensitive, and potentially fatal condition that can present with subtle signs requiring timely diagnosis and intervention. Although definitive diagnosis is most accurately made through computed tomography angiography, this can be a time-consuming study and the patient may be unstable, thus preventing the study’s completion. Chest radiography (CXR) signs of AD are classically taught yet have poor diagnostic reliability. Point-of-care ultrasound (POCUS) is increasingly used by emergency physicians for the rapid diagnosis of emergent conditions, with multiple case reports illustrating the sonographic signs of AD. We present a case of Stanford type B AD diagnosed by POCUS in the emergency department in a patient with vague symptoms, normal CXR, and without aorta dilation. A subsequent review of CXR versus sonographic signs of AD is described.
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