Question

A 75-year-old man presents with sudden onset, severe, tearing chest pain radiating to his back. His blood pressure is 190/110 mmHg in the right arm and 140/85 mmHg in the left arm. ECG shows sinus tachycardia. Chest X-ray shows a widened mediastinum. What is the most likely diagnosis?

Accepted Answer

Aortic Dissection

Answer

Acute Coronary Syndrome (STEMI)

Answer

Pulmonary Embolism

Answer

Oesophageal Rupture (Boerhaave syndrome)

Answer

Tension Pneumothorax

Practice question

A 75-year-old man presents with sudden onset, severe, tearing chest pain radiating to his back. His blood pressure is 190/110 mmHg in the right arm and 140/85 mmHg in the left arm. ECG shows sinus tachycardia. Chest X-ray shows a widened mediastinum. What is the most likely diagnosis?