Computed tomography angiography-negative aortic dissection in a patient using Phencyclidine

作     者：Daniel DeWeert Elise Lovell Samir Patel 

作者机构：Advocate Christ Medical Center 4440 95th St Oak Lawn IL 60453 USA 

出 版 物：《World Journal of Emergency Medicine》 (世界急诊医学杂志（英文）)

年 卷 期：2018年第9卷第2期

页      面：144-148页

核心收录：

学科分类：0401[教育学-教育学] 04[教育学] 040110[教育学-教育技术学（可授教育学、理学学位）] 

主　　题：Computed tomography angiography-negative aortic dissection a patient using Phencyclidine 

摘      要：Although the average age of diagnosis for aorticdissection is 63,[1] this case demonstrates the need toconsider AD in younger patients, particularly in thepresence of risk factors or in the absence of anotherreasonable diagnosis. This case suggests PCP use as aprecipitant for hypertension and sympathomimetic stresson the aorta. Despite high sensitivity, false negativeCTA imaging for AD can occur. If pretest probabilityremains high, further imaging must be obtained. Duringresuscitation in the ED, focused point-of-care ultrasoundcan also assist with medical decision making.