Clinical Practice and Cases in Emergency Medicine
Point-of-care Ultrasound Diagnosis of an Atypical Acute Aortic Dissection
- Author(s): Wroblewski, Richard
- Gibbons, Ryan
- Costantino, Thomas
- et al.
Published Web Locationhttps://doi.org/10.5811/cpcem.2018.6.38106
Aortic dissections have a vast array of clinical presentations that rarely follow traditional teachings. Dissections are rapidly fatal conditions requiring immediate diagnosis and treatment to reduce morbidity and mortality. We present a case of an acute aortic dissection presenting as abrupt onset, atraumatic leg pain with absent distal extremity pulses. The prompt use of point-of-care ultrasound detected an intimal flap within the abdominal aorta allowing immediate surgical consultation and intervention.