Phys Clinical Cases · cardiovascular
Aortic Disease — DCE Clinical Case
DCE long-case and short-case station for Aortic Disease.
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Target exams
Aortic Disease — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Aortic Disease. [1]
Presenting complaint: Subacute or acute symptoms referable to Aortic Disease, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Aortic Disease, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Bækgaard RS, Møller SH, Dall CH, Magnusson SP, et al. The Effect of Exercise on Quality of Life in Patients With Thoracic Aortic Disease Pre- and Post-Surgery: A SCOPING REVIEW J Cardiopulm Rehabil Prev, 2026.PMID 42467937
- [2]Fry AE, Portman MA, Olson AK Novel Quality Metrics for Assessing the Reproducibility and Translational Relevance of Mouse Transverse Aortic Constriction Experiments: A Systematic Review J Am Heart Assoc, 2026.PMID 42466492
- [3]Franchin M, Bertoglio L, Mauri F, Fontana F, et al. Endovascular Septotomy During Thoracic Endovascular Aortic Repair for Chronic Dissection-Related Aneurysm: All That Glitters Is Not Gold Ann Ital Chir, 2026.PMID 42464843
- [4]Sallah YH, Vanderpuye V, Ghebre R, Warfa K, et al. Management of epithelial ovarian cancer in sub-Saharan Africa: a survey of practicing physicians Ecancermedicalscience, 2026.PMID 42428819
- [5]Schunkert H, Li L, Trenkwalder T Clinical utility of polygenic risk scores in cardiovascular disorders Med Genet, 2026.PMID 42416867
- [6]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [7]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005
- [8]Osborne AK, Brown RD, Sillence E Effects of Social Media Narratives on Affective and Behavioral Responses to Menopause Content: Randomized Online Experimental Study JMIR Form Res, 2026.PMID 42467962