A 21-year-old woman comes to the university health clinic ...
Contraindicated with esophageal disease-Aortography: traditional gold standard, S&S =90%, not done in ED-CTA: almost 100% S&S, may miss rapidly moving flap-Treatment-10-15 units of blood on standby, surgical consultation-control HR and BP, esmolol first then nitroprusside-treat pain with IV narcotics. Expanding and Ruptured AAA ................
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