A 58-year-old man went to the emergency department (ED) with chest pain he described as “ripping.” It started suddenly as he was helping his wife move furniture. The pain radiated down his back. In the ED, he complained of abdominal pain and monoparesis of his left leg. The patient reported a history of cigarette smoking.
What's your diagnosis?
A. Myocardial infarction
B. Pulmonary embolism
C. Angina pectoris
D. Aortic aneurysm dissection
Use the differential builder on VisualDx to guide your decision.
See the next page for the answer.