Aortic Dissection, Leg pain and numbness

Anita Rohra, MD, FACEP

Brief Description of Case:
A 58-year-old male presents to the emergency room for severe leg pain x 2 hours. He is severely hypertensive and has no right femoral pulse on exam. He describes a severe episode of chest pain after using cocaine the previous night, which is mostly resolved now. Bedside US reveals a dissection flap in the aortic root prompting a CTA, confirming proximal dissection.

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