Open AccessAn unusual differential for a pulseless trauma patient
Author(s) -
Babita Gupta,
Pramendra Agrawal,
Kapil Dev Soni,
Nita D’souza,
Kamran Farooque
Publication year - 2012
Publication title -
journal of emergencies, trauma and shock
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.313
H-Index - 29
eISSN - 0974-519X
pISSN - 0974-2700
DOI - 10.4103/0974-2700.93097
Subject(s) - medicine , arteritis , differential diagnosis , shock (circulatory) , suspect , major trauma , radiology , surgery , pathology , psychology , criminology
Hemorrhagic shock is the most common reason to explain the inability to feel pulse in a trauma patient. However, clinicians should always suspect atypical causes for differential pulses in this population and Takayasu's arteritis (TA) is one such example. We report a case of aorto-arteritis in a patient who presented with trauma and was later diagnosed with TA. She had blood pressure discrepancy between upper and lower limbs noted upon her initial trauma evaluation.