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SurgSpace

06 / Cardiac Surgery · advanced

Tearing pain to the back

  1. ED
  2. Investigations
  3. Pre-Op
  4. OR
  5. Ward
  6. Debrief

Maximal at onset

The pain was worst in the first second and has not eased. He is agitated. Blood pressure is 178/96 in the right arm and 140/80 in the left, and there is a soft early diastolic murmur at the left sternal edge.

Open in 3D: the aorta and its arch branches

Which combination is most specific for dissection here?

SurgSpace TutorContext-aware, and it will not spoil the case.