@myheartmd: Here is the case. What are the 3 top things on the differential diagnosis? How would you manage this patient?

Myheartmd
Myheartmd
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Thursday 27 August 2026 00:28:32 GMT
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ronin4878
Ronin :
Aortic aneurysm vs. dissection is a crucial distinction here! The AP chest X-ray overestimates mediastinal width, so relying on it for aneurysm/dissection is risky. Given the sudden onset, neck/gum radiation, and hypertension, acute dissection is the top "can't miss" DDx. Proceed straight to CTA! Cheers! ❤️✋️🙂
2026-08-28 12:01:30
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humansareavirus
JadedGen❌️Medic772 :
lol. hand the 12lead printout to doc and go stick the old lady in room 12 with a 22 to the AC....? 🤣🤣🤣
2026-08-27 02:58:23
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