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Acute Type I aortic dissections are fast progressing highly mortal vascular emergencies if management delays. In this particular paper we report a case with a Type I aortic dissection mistreated for first 2 hours as thrombotic AMI, and aortic dissection diagnosis confirmed and treated surgically immediately. 59 years old male patient admitted to emergency room with sudden onset chest pain. Patient was seen by cardiologist and with NSTMI diagnosis admitted to Coronary ICU. With the suspicion of aortic dissection patient was scanned with contrasted thoraco-abdominal CT. Exam revealed subtotal occlusion of ascending aorta by flap of De Bakey Type I aortic dissection. In conclusion aortic dissection should be considered in differential diagnosis of chest pain. Clinical suspicion aortic dissection is key point of diagnosis and immediate confirmation may be life saving.
Acute myeloblastic leukemia (AML) is a highly fatal
malignant bone marrow disease. Physicians, dentists and all other healthcare
professionals should be aware of sinister oral signs and symptoms in order to
early diagnosis and referral of patients. Here we report a case of AML who
presented with oral ulcers. Ulcers developed after a parrot bite, which
initially misled the physicians. Unfortunately our patient did not survive, but
early diagnosis and prompt investigation and treatment can be life-saving in
many other similar cases.