Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions


Answer 6
  1. Immediate chest CT with IV contrast. The patient should be emergently evaluated for aortic dissection using chest CT with IV contrast. Other diagnostic options include bedside transesophageal echocardiogram, magnetic resonance imaging of the chest, and, in rare circumstances, contrast aortography.4 The decision of which modality to use depends on how stable the patient is, experience of the physician, and availability of the modality in the institution. A transthoracic echocardiogram will not likely provide complete visualization of the aorta to aid in diagnosis. Cardiac biomarkers, fasting lipid profile, and coronary angiogram are helpful but not necessary, especially if they delay timely treatment.4

    4. Chen K, Varon J, Wenker OC, et al. Acute thoracic aortic dissection: the basics. J Emerg Med 1997;15:859–67.

Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 11/20/08 • nvf