7. A 58-year-old man presented with 1 hour of chest and upper back pain. Blood pressure was 160/100 mmHg in the right arm and 106/50 mmHg in the left arm. There was a grade III/VI diastolic blowing murmur audible at left upper sternal border. Electrocardiography showed sinus rhythm with left ventricular hypertrophy. (10%) (A) What diagnostic procedures will you order for this patient? b. What is the most possible diagnosis? (C) What is your treatment plan?

詳解 (共 2 筆)

詳解 提供者：Sally
A.keep bedrest. check BNP, Troponin-I, cardial enzyme O2 mask 6L/min support, on EKG monitor B.Carotid stenosis Aortic dissection C.control BP
詳解 提供者：wolf12252006
(A) CT with contrast, cardiac sono (B)aortic dissection (C)if type a--> consult CVS and arrange operation// if type b, control bp strictly with sbp below 140mmHg with labetolol