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Pushing beyond the limit: a novel clinical sign of thoracic aortic dissection
The timely diagnosis of aortic dissection is notoriously confounded by unreliable symptomatology. We present a previously unreported clinical sign: thoracic pain reproduced by abdominal palpation. Our case illustrates the dependence of traditional clinical features on the anatomical location of an a...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5720248/ https://www.ncbi.nlm.nih.gov/pubmed/29167214 http://dx.doi.org/10.1136/bcr-2017-221653 |
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author | Meredith, Thomas Jain, Pankaj Feneley, Michael |
author_facet | Meredith, Thomas Jain, Pankaj Feneley, Michael |
author_sort | Meredith, Thomas |
collection | PubMed |
description | The timely diagnosis of aortic dissection is notoriously confounded by unreliable symptomatology. We present a previously unreported clinical sign: thoracic pain reproduced by abdominal palpation. Our case illustrates the dependence of traditional clinical features on the anatomical location of an aortic dissection and lends weight to the concept of aortic pain as being a dynamic product of inter-related changes in intraluminal pressure, volume, wall stress and diameter. The clinical sign we describe may be very specific of acute aortic pathology. |
format | Online Article Text |
id | pubmed-5720248 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-57202482017-12-08 Pushing beyond the limit: a novel clinical sign of thoracic aortic dissection Meredith, Thomas Jain, Pankaj Feneley, Michael BMJ Case Rep Unusual Presentation of More Common Disease/Injury The timely diagnosis of aortic dissection is notoriously confounded by unreliable symptomatology. We present a previously unreported clinical sign: thoracic pain reproduced by abdominal palpation. Our case illustrates the dependence of traditional clinical features on the anatomical location of an aortic dissection and lends weight to the concept of aortic pain as being a dynamic product of inter-related changes in intraluminal pressure, volume, wall stress and diameter. The clinical sign we describe may be very specific of acute aortic pathology. BMJ Publishing Group 2017-11-21 /pmc/articles/PMC5720248/ /pubmed/29167214 http://dx.doi.org/10.1136/bcr-2017-221653 Text en © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Unusual Presentation of More Common Disease/Injury Meredith, Thomas Jain, Pankaj Feneley, Michael Pushing beyond the limit: a novel clinical sign of thoracic aortic dissection |
title | Pushing beyond the limit: a novel clinical sign of thoracic aortic dissection |
title_full | Pushing beyond the limit: a novel clinical sign of thoracic aortic dissection |
title_fullStr | Pushing beyond the limit: a novel clinical sign of thoracic aortic dissection |
title_full_unstemmed | Pushing beyond the limit: a novel clinical sign of thoracic aortic dissection |
title_short | Pushing beyond the limit: a novel clinical sign of thoracic aortic dissection |
title_sort | pushing beyond the limit: a novel clinical sign of thoracic aortic dissection |
topic | Unusual Presentation of More Common Disease/Injury |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5720248/ https://www.ncbi.nlm.nih.gov/pubmed/29167214 http://dx.doi.org/10.1136/bcr-2017-221653 |
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