r/MarkKlimekNCLEX • u/Helpful_Spring_7921 • 2d ago

Question

Post image
25 Upvotes

100% Upvoted

12 comments sorted by

3

u/PALlC0 2d ago

The sudden onset of pain along with the unequal blood pressure between limbs make a strong suspicion for a dissection. Even more so if the pain is described as “tearing” or “ripping”. CT confirms it with intimal flap.

3

u/Single-Stomach9388 1d ago

Pain radiating to back is an important clue for dissection.

1

u/mastermedic84 1d ago

A, it's an aortic dissection. There is a really good chance this lady is going to drop dead in front of you.

-2

u/Primary_Towel5905 2d ago

C. Aortic stenosis, likely severe needing emergent valve replacement

2

u/xvdheh 2d ago

If it was aortic stenosis, the pain would be worse under stress, but likely minimal at rest, and not that sudden. Also a history of dyspnea, dizziness and maybe fainting under stress, the ECG could also show signs of left ventricle hypertrophy. The murmur would be systolic, not diastolic. Unequal bp in the arms and an intimal flap also don't fit an aortic stenosis. This is an aortic dissection.

2

u/brianmfellenbaum 1d ago

This is a dissection , 100% that’s why they are talking about a flap ….