Acute aortic syndrome
Tearing chest pain with pulse asymmetry
A 61-year-old develops abrupt severe chest pain radiating to the back. The right arm pressure is 38 mmHg lower than the left. ECG shows no diagnostic ST-elevation. He remains conscious; systolic pressure is 104 mmHg.
Your task: Localise the decisive abnormality, state the diagnosis and choose the next management step.
SIMULATED TEACHING IMAGE · NOT A REAL PATIENT SCAN
Tap the single most important abnormality before revealing the annotation.
Staged information
Commit to the image first. Reveal one discriminator at a time.