Saturday, November 30, 2013

Question 7

7. Your patient is a 75 year old male that presents with sharp chest pain radiating through to his back.  His vitals signs are BP 85/53, HR 110, RR 12, Temp 96.5.  His Chem 7 is as follows Na 130, K 4.1, Cl-112, HCO3 22, BUN-36, Creatinine-2.5, Glucose 96.  Which of the following is the best management option?

A. Order a Stat CTA of Chest with IV contrast to look for a dissection
B  Order a Stat Bedside ECHO
C. Order a Transesophageal ECHO (TEE)
D. Call the cardiothoracic surgeon and take the patient to the operating room immediately.

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