Question 10 (part 2) · LEK · Aortic dissection

On admission to the A&E, a patient was diagnosed with sudden, severe, excruciating chest pain, located retrosternally, radiating to the interscapular area, of a permanent nature, accompanied by dyspnoea, nausea and profuse sweating. The clinical picture most probably indicates a suspicion of:

  1. A. myocardial infarction.
  2. B. aortic dissection.
  3. C. pulmonary embolism.
  4. D. pericarditis.
  5. E. esophageal rupture.
Hint

Note the tearing character, abrupt onset at maximal intensity and radiation to the back between the shoulder blades.

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