Answer to Case of the Week 001

Answer is Proximal Aortic Dissection

“The Author states that during this period he has been unable to “get comfortable”. The intensity of the pain increases during inspiration and with body movement.”

“He has no reported history of hypertension, coronary artery disease, prior cardiac surgery, diabetes mellitus, or hyperlipidemia.”
….No risk factors of AMI

“He is afebrile. His blood pressure is 160/102 mm Hg”
… HTN is Risk Factor of Aortic Dissection

“pulse is 103 bpm and regular.”
No Tachycardia so NO PERICARDITIS

“he cardiac examination reveals an early diastolic murmur in the aortic region, with no gallop, pericardial rub, or knock;”
No Rub so no pericarditis

“Serial cardiac isoenzyme tests demonstrate no evidence of myocardial injury.”
so sure is not AMI

ECG shows Pericarditis Pattern

The clinical picture of sudden Tearing like Pain in chest suggestive of Aortic Dissection
Patient with Acute Myocardial Infarction will suffer of heaving pain and will have history of Anginal pain
Pericarditis will have Fever and Tachycardia

so it’s Proximal Aortic Dissection

if you have another answer or comment pls tell on comments below

نبذة dr3mro
Just a googler

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