A 62-year-old man with hypertension and hyperlipidemia presents with acute onset of severe, tearing chest pain radiating to the back. He is diaphoretic with blood pressure 180/110 mmHg in the right arm and 140/90 mmHg in the left arm. Chest X-ray shows widened mediastinum. Which of the following is the most likely diagnosis?
- A)Acute myocardial infarction
- B)Spontaneous esophageal rupture
- C)Pulmonary embolism
- D)Acute pericarditis
- E)Aortic dissectionGABARITO
Explicação
Aortic dissection presents with sudden severe tearing chest pain radiating to the back, accompanied by hypertension and blood pressure differential between limbs (difference >20 mmHg). Widened mediastinum on chest X-ray supports this diagnosis. This is a Type ... Ver explicação completa e trilha adaptativa →