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Aortic Disease II: Diagnosing Dissection (1 credit Monograph)

Hours: 1.00

Best suited for: Emergency physicians, cardiologists, and primary care/family physicians

Target Audience: Emergency physicians, cardiologists and adult primary care physicians.

Original Release Date: May 31, 2013
Review Date: May 18, 2016
Expiration Date: May 18, 2019

Description: Aortic aneurysm may develop silently over many years, manifesting rarely but catastrophically as dissection or rupture with high mortality. Aortic dissection is hard to diagnose in time. It is not always included in the differential when a patient presents emergently with severe chest, back or abdominal pain. In the US, aortic aneurysms and dissections account for approximately 15,000 deaths occurring each year, sometimes diagnosed only after death. Many deaths presumed to be from myocardial infarction were actually due to thoracic aortic dissection. This monograph will review the data from studies in the peer-reviewed literature and present recent professional guidelines and tools for improving the diagnosis of aortic dissection.

Learning Objectives: Upon completion, participants should be able to
1) Differentiate the demographics, incidence and risk factors for thoracic versus abdominal aneurysm and dissection.
2) Describe the most distinguishing pain features, presenting conditions and exam findings in aortic dissection as described in the ACCF/AHA guidelines.
3) Identify recommended imaging study modalities when thoracic aortic dissection is suspected.
4) Describe the ADD Risk Scoring system and state the imaging/treatment recommendations applying to the highest Risk Score.

Learning Assessment: There will be a post test for this activity with a minimum performance requirement of 7 out of 10 correct answers.

Estimated time to complete activity: 1 hour

Residents will earn a certificate of completion. Physicians will earn CME credit. CME Information - Read

Method and Medium: To obtain CME credit, read the entire monograph online, download to a printer and read, or download and save to your computer. Complete the evaluation and post test and print your certificate online.

CME Credit: 1.0


MOC Approved: Through the American Board of Medical Specialties ("ABMS") and Association of American Colleges' ("AAMC") joint initiative to create a wide array of Maintenance of Certification ("MOC") Activities, ' Aortic Disease II: Diagnosing Dissection ' has met the MOC requirements as a Part II activity by the following ABMS Member Boards:

  • American Board of Physical Medicine and Rehabilitation
  • American Board of Family Medicine



State Requirements:
Based on information from state licensing authorities published by the AMA, this program meets specific CME requirements for the following states:
Florida -  This activity includes content in Preventing Medical Errors
Connecticut - This activity includes content in Risk Management
Massachusetts - This activity includes content in Risk Management
Pennsylvania - This activity includes content in Risk Management / Patient Safety

Disclosure Policy - Read

Disclosure:  The authors, expert reviewers and planning committee members for this activity have no relevant financial relationships to disclose.

About the Authors - Read Bios
Medical Writers: Sara N. Fischer, PhD and Ruth Ryan, RN, BSN, MSW, CPHRM 
Expert Reviewers: Frederick Jeff White, III, MD, FACC, FCCP, Ivan M. Sherman, MD, FAAEM, and Randall P. Miller, MD

Managing Editor: Dawer Azizi, MHA, CPHRM, LAMMICO Manager of Risk Management

Editor: Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Content Advisors/Planning Committee Members - Read

Electronic Hardware and Software Requirements - Read

Web Master Contact Information: For assistance, contact Shea Ivey at 866/398-1038 or help@medicalinteractive.com

Disclaimer: This activity is presented as risk management education.  It is not legal advice, nor does it establish medical standards of care.  Standards of care vary depending on the unique presentation of each patient.  The information contained herein is not a substitute for the reasonable discretion of skilled and informed clinicians at the point of care.

Copyright Information: Copyright © 2013

Bibliography: To view and download References & Resources for this presentation, please select the References tab/link below.

Member and Subscriber Access
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This course is offered through Experix, a wholly owned subsidiary of Physicians Insurance, and is based on more than 30 years' experience in providing continuing medical education. This course is complimentary for Physicians Insurance members.

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