A 62-year-old man with a 20-year history of poorly controlled hypertension presents with sudden onset of severe, tearing chest pain radiating to the back. Vital signs show BP 180/110 mmHg, HR 98/min, RR 20/min, and a new diastolic murmur is appreciated on auscultation. Chest X-ray demonstrates a widened mediastinum. He denies leg pain or weakness. Which of the following is the most likely diagnosis?
- A)Spontaneous pneumothorax
- B)Acute myocardial infarction
- C)Acute pericarditis
- D)Pulmonary embolism
- E)Acute aortic dissectionGABARITO
Explicação
Acute aortic dissection presents with sudden severe tearing chest pain radiating to the back, hypertension, and may cause acute aortic regurgitation (diastolic murmur). Risk factors include chronic hypertension and connective tissue disorders. Imaging with CT ... Ver explicação completa e trilha adaptativa →