aortic_dissection_add
Differences
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| aortic_dissection_add [2026/07/09 07:03] – [the AYTON-WHIP pain score - perhaps has more utility in the ED] gary1 | aortic_dissection_add [2026/07/09 07:04] (current) – [the AYTON-WHIP pain score - perhaps has more utility in the ED] gary1 | ||
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| ***H**ypotension that is unexplained and AYTON score is 2 or more | ***H**ypotension that is unexplained and AYTON score is 2 or more | ||
| ***I**schaemia of end organs such as bowel ischaemia without cause (ie. no AF), pancreatitis without cause (ie. no biliary, alcoholic cause), neuropathy or stroke with pain, STEMI with normal coronary angiography | ***I**schaemia of end organs such as bowel ischaemia without cause (ie. no AF), pancreatitis without cause (ie. no biliary, alcoholic cause), neuropathy or stroke with pain, STEMI with normal coronary angiography | ||
| - | ***P**ulse deficit or BP differential in each arm > 20mmHg | + | ***P**ulse deficit or BP differential in each arm > 20mmHg |
| *an AYTON score of 2 even with a WHIP score of 0 should also be considered for aortic imaging if the clinical gestalt suggests dissection is reasonably likely to explain the pain or if the clinician detects a new murmur of aortic insufficiency | *an AYTON score of 2 even with a WHIP score of 0 should also be considered for aortic imaging if the clinical gestalt suggests dissection is reasonably likely to explain the pain or if the clinician detects a new murmur of aortic insufficiency | ||
| *an AYTON score of 0 or 1 and a WHIP score of 0 would give a very low probability of dissection and thus aortic imaging should not be needed, particularly if the patient also has a negative [[DDimer|D-Dimer]]. | *an AYTON score of 0 or 1 and a WHIP score of 0 would give a very low probability of dissection and thus aortic imaging should not be needed, particularly if the patient also has a negative [[DDimer|D-Dimer]]. | ||
aortic_dissection_add.txt · Last modified: 2026/07/09 07:04 by gary1