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{
    "pk": 695,
    "title": "Detection of Type B Aortic Dissection in the Emergency Department with Point-of-Care Ultrasound",
    "subtitle": null,
    "abstract": "Aortic dissection (AD) is a rare, time-sensitive, and potentially fatal condition that can present with subtle signs requiring timely diagnosis and intervention. Although definitive diagnosis is most accurately made through computed tomography angiography, this can be a time-consuming study and the patient may be unstable, thus preventing the study’s completion. Chest radiography (CXR) signs of AD are classically taught yet have poor diagnostic reliability. Point-of-care ultrasound (POCUS) is increasingly used by emergency physicians for the rapid diagnosis of emergent conditions, with multiple case reports illustrating the sonographic signs of AD. We present a case of Stanford type B AD diagnosed by POCUS in the emergency department in a patient with vague symptoms, normal CXR, and without aorta dilation. A subsequent review of CXR versus sonographic signs of AD is described.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7jf15054",
    "frozenauthors": [
        {
            "first_name": "Emily",
            "middle_name": "",
            "last_name": "Earl-Royal",
            "name_suffix": "",
            "institution": "Stanford School of Medicine, Department of Emergency Medicine, Palo Alto, California",
            "department": "None"
        },
        {
            "first_name": "Phi",
            "middle_name": "D.",
            "last_name": "Nguyen",
            "name_suffix": "",
            "institution": "Kaiser Permanente Sacramento Medical Center, Department of Emergency Medicine, Sacramento, California",
            "department": "None"
        },
        {
            "first_name": "Al’ai",
            "middle_name": "",
            "last_name": "Alvarez",
            "name_suffix": "",
            "institution": "Stanford School of Medicine, Department of Emergency Medicine, Palo Alto, California",
            "department": "None"
        },
        {
            "first_name": "Laleh",
            "middle_name": "",
            "last_name": "Gharahbaghian",
            "name_suffix": "",
            "institution": "Stanford School of Medicine, Department of Emergency Medicine, Palo Alto, California",
            "department": "None"
        }
    ],
    "date_submitted": "2019-07-08T14:51:53-07:00",
    "date_accepted": "2019-07-08T14:51:53-07:00",
    "date_published": "2019-07-08T14:58:48-07:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/695/galley/453/download/"
        }
    ]
}