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Hospital umum sarawak1/8/2023 On physical examination, both lower limbs were dusky in appearance because of poor perfusion.Ĭomputed Tomography Angiography showed extensive arch and abdominal aorta dissection extending to the proximal common carotid artery. After being admitted to the Intensive Care Unit, the mean arterial pressure on the left arm was noted to be significant higher. Hence, a high index of suspicion with prompt diagnostic imaging is vital for accurate diagnosis.Ī previously healthy 35-year-old lady was referred from district hospital for hypertensive cardiomyopathy complicated by acute pulmonary oedema. ![]() Early detection of aortic dissection could invariably determine patient's survivability. ![]() Differences in systolic blood pressure reading between arms are common but could signal trouble if the discrepancy is significant.
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