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Aneurysm
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Practice Points

The larger an aortic aneurysms, the greater the

1. rate of annual enlargement

2. probability of dissection

3. probability of rupture

In missed thoracic aortic dissection look for

1. a history of chest pain

   a) quality (tearing or ripping)

   b) radiation (between shoulder-blades or to low back)

   c) intensity at onset (severe)

2. comparison of the left and right major pulses

3. detailed neurological examination