Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

1 results

  • 38 - Fulminant hepatic failure

  • from Section 6 - Gastrointestinal emergencies
  • Edited by Kaushal Shah, Jarone Lee, Kamal Medlej, American University of Beirut, Scott D. Weingart
  • Book:
    Practical Emergency Resuscitation and Critical Care
    Published online:
    05 November 2013
    Print publication:
    24 October 2013, pp 253-260

  • Summary

    This chapter discusses the diagnosis, evaluation and management of aortic dissection. In addition to chest pain, patients may present with focal neurological deficits secondary to the physical obstruction of either one of the carotid arteries by an intimal flap, or false lumen propagation. Vascular obstruction and ischemia may occur at any level, leading to syncope, stroke symptoms, acute myocardial infarction (frequently from right coronary artery compromise), mesenteric ischemia, paraplegia (from hypoperfusion of the spinal arteries), or limb ischemia. Cardiogenic shock may also arise as a complication of dissection into the pericardium resulting in cardiac tamponade. Beck's triad of hypotension, muffled heart sounds, and jugular venous distension can sometimes be found. Electrocardiogram (ECG) findings rarely aid in the diagnosis, though ST elevations may be present in as many as 20% of patients due to ostial coronary involvement.