American family physician
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Although aortic dissection is rare in children, it does occur, particularly in those with congenital heart disease, connective tissue disorders or severe trauma. Prompt diagnosis is essential. ⋯ The patient is often much more uncomfortable than can be explained on the basis of physical findings. Criteria have been established for choosing medical or surgical therapy.
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Inadequate assessment of the suicidal patient can have tragic consequences. Reliance should be placed on a comprehensive evaluation, including social profile, mental and physical status, suicidal ideation, intent and behavior, and current social support systems. Heightened awareness, combined with a knowledge about risk factors for suicide and intervention techniques, will help prevent these tragedies.