Question 146 · LEK · Aortic dissection

A 55-year-old male came by ER department because of intense, tearing pain that radiated to the back. The patient is a chain smoker and he irregularly takes hypotensive medications. The ECG showed no ST elevation. Which disorder should primarily be considered in the diagnostics?

  1. A. peptic ulcer.
  2. B. aortic dissection.
  3. C. pericarditis.
  4. D. pneumothorax.
  5. E. pulmonary embolism.
Hint

Focus on the character of the pain ('tearing'), where it radiates and the patient's poorly controlled risk factor.

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