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emq: VASCULAR EMERGENCIES
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Match each clinical vignette to the most appropriate diagnosis.
Carotid artery dissection Uncomplicated pseudoaneurysm Deep vein thrombosis of the lower limb Stanford B dissection of the aorta Vertebral artery dissection |
Chronic femoral artery insufficiency Stanford A dissection of the aorta Fracture of the radial head Supracondylar fracture Mycotic aneurysm DeBakey III dissection of the aorta |
EMQ 1.
A 55 year old man with a history of hypertension presents with acute neck pain and dizziness. On examination he has rotatory nystagmus.
EMQ 2.
A 68 year old man with a history of poorly controlled type 2 diabetes and two prior NSTEMIs presents complaining of increasing pain in his right leg. The pain occurs after walking more than 50m, and spreads upwards from his foot towards his groin.
EMQ 3.
A 62 year old man presents with sharp central chest pain of a tearing nature radiating through to his back. His systolic blood pressure on arrival is 210mmHg, and his ECG in the resus room shows 3mm of ST elevation in leads II, III and aVF.
EMQ 4.
A 5 year old boy presents with a swollen left elbow after falling off the monkey bars at day care. His left elbow is quite swollen and his left hand is cool and pale. On palpation a radial pulse cannot be felt.
EMQ 5.
A 24 year old drug user presents with a fever and right groin pain. There is a large indurated tender mass in the right groin on examination.
A 55 year old man with a history of hypertension presents with acute neck pain and dizziness. On examination he has rotatory nystagmus.
EMQ 2.
A 68 year old man with a history of poorly controlled type 2 diabetes and two prior NSTEMIs presents complaining of increasing pain in his right leg. The pain occurs after walking more than 50m, and spreads upwards from his foot towards his groin.
EMQ 3.
A 62 year old man presents with sharp central chest pain of a tearing nature radiating through to his back. His systolic blood pressure on arrival is 210mmHg, and his ECG in the resus room shows 3mm of ST elevation in leads II, III and aVF.
EMQ 4.
A 5 year old boy presents with a swollen left elbow after falling off the monkey bars at day care. His left elbow is quite swollen and his left hand is cool and pale. On palpation a radial pulse cannot be felt.
EMQ 5.
A 24 year old drug user presents with a fever and right groin pain. There is a large indurated tender mass in the right groin on examination.