A 54-year-old man is brought to the emergency room from his doctor's office.

History

A 54-year-old man is brought to the emergency room from his doctor's office. Chief complaint is sudden onset of severe chest discomfort. Discomfort had a tearing nature.

Decreased red blood cell count. EKG is normal. Chest x-ray shows evidence of an aneurysm of the ascending aorta. Transesophageal echo shows separation of the layers of the ascending aorta.

Take a Blood Pressure Reading

Authors and Reviewers

Heart sounds by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient.
Reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
Last Update: 11/9/2021

Sources

Heart Sounds and Murmurs Across the Lifespan (with CD) Dr Barbara Ann Erickson
Publisher: Mosby
ISBN-10: 0323020453; ISBN-13: 978-0323020459
Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
Elsevier-Health Sciences Division
Barbara A. Erickson, PhD, RN, CCRN
How to measure blood pressure using a manual monitor
Mayo Foundation for Medical Education and Research (MFMER)
Heart and Lung Sounds Reference Guide
PracticalClinicalSkills.com
Manual Blood Pressure Measurement
Vital Sign Measurement Across the Lifespan