PAIN: Severe pain is the #1 symptom. Seek immediate emergency medical care for a sudden onset of severe pain in the chest, stomach, back or neck. The pain is likely to be sharp, tearing, ripping, moving. [johnritterfoundation.org]

pain: 90% Characteristics Pain: 95% Type A: 94% Type B: 98% Sharp pain: 64% Tearing/ripping: 50% Type A: 49% Type B: 52% Distribution: Typically involves both above and below the diaphragm Anterior Chest Pain : 61% Type A: 71% Type B: 44% Back pain: [fpnotebook.com]

The majority of patients with aortic dissection, present with a sudden severe pain of the chest or back, classically described as 'ripping'. [patient.info]

A diagnosis of the malperfusion is difficult because it is made mainly on the basis of nonspecific symptoms such as intermittent claudication and numbness on walking. [ncbi.nlm.nih.gov]

Cessation of smoking in patients with intermittent claudication. Effects on the risk of peripheral vascular complications, myocardial infarction and mortality. Acta Med Scand. 1987 ; 221 : 253 –60. 436. Kouchoukos NT, Dougenis D. [web.archive.org]

Finally, and amidst this plethora of “good news,” it is appropriate to reflect on the formidable challenge that endovascular therapies face as they gear to “compete” with optimal medical therapy in the management of patients with acute uncomplicated type [ncbi.nlm.nih.gov]

We recently encountered a case of a patient with PAoD presenting with dyspnea; the clue to diagnosis was the presence of a loud aortic diastolic murmur. [ncbi.nlm.nih.gov]

[…] often sudden pain in the chest ( angina ), shoulders, back, abdomen, arms, neck, hips, or legs Stroke-like symptoms Difficulty swallowing Sweating Anxiety Decreased sensation Nausea Pale skin (pallor) Rapid heart rate (tachycardia) Shortness of breath (dyspnea [utswmedicine.org]

Abstract A 52-year-old man presented with sudden abdominal pain and intermittent vomiting. [ncbi.nlm.nih.gov]

Pain : 35% Type A: 22% Type B: 42% Migrating pain: 17% Type A: 15% Type B: 19% Associated Findings Syncope : 9% Type A: 13% Type B: 4% [fpnotebook.com]

They include: Sudden severe chest or upper back pain, often described as a tearing, ripping or shearing sensation, that radiates down the back Loss of consciousness (fainting) Abdominal pain Sudden onset of leg pain with compromised blood flow Which diagnostic [inovaheart.org]

What could possibly tie the abdominal pain, chest pain and vision loss together? Remember: the minute you have a neurologic complaint that accompanies chest pain, aortic dissection must move to the top of your differential. [hippoed.com]

We report a previously healthy 58-years old female, admitted because of nausea, dizziness, somnolence, a left-sided hemiparesis and arterial hypotension. The electrocardiogram showed atrial fibrillation with ST-elevations and ST-depressions. [ncbi.nlm.nih.gov]

Symptoms are caused by a decrease of blood flowing to the rest of the body, and can include: Anxiety and a feeling of doom Fainting or dizziness Heavy sweating (clammy skin) Nausea and vomiting Pale skin ( pallor ) Rapid, weak pulse Shortness of breath [nlm.nih.gov]

Additional symptoms may include the following: Anxiety Difficulty swallowing Dizziness or fainting Nausea and vomiting Pain in the abdomen Pale skin Rapid, weak pulse Shortness of breath or trouble breathing when lying flat Stroke-like symptoms Sweating [houstonmethodist.org]

[…] accident or a gunshot wound Symptoms of aortic dissection can include: Severe, often sudden pain in the chest ( angina ), shoulders, back, abdomen, arms, neck, hips, or legs Stroke-like symptoms Difficulty swallowing Sweating Anxiety Decreased sensation Nausea [utswmedicine.org]

There may be associated nausea, sweating, shortness of breath, and weakness. The patient may pass out (syncope). [medicinenet.com]

KEYWORDS: Cardiovascular System; Drug Misuse (including Addiction); Hypertension [ncbi.nlm.nih.gov]

pain and an ECG pattern of NSTEMI. [ncbi.nlm.nih.gov]

Have a heightened level of suspicion for patients who present with chest pain and hypertension or chest pain and drug use or chest pain that is tearing and radiating to the back or a pulse deficit between arms. [hippoed.com]

In most cases, the symptoms begin suddenly, and include severe chest pain. The pain may feel like a heart attack. Pain can be described as sharp, stabbing, tearing, or ripping. [nlm.nih.gov]

Cold agglutinin disease is characterized by acrocyanosis, hemolytic anemia, and occasionally, frank hemoglobinuria. [ncbi.nlm.nih.gov]

Even in the absence of chest or back pain, the initial urgent care doctor needs to immediately perform chest contrast CT if suspecting aortic dissection from blood pressure laterality or upper mediastinal widening on chest X-ray. [ncbi.nlm.nih.gov]

Monitoring for limb ischemia via peripheral pulses and cyanosis, limb weakness or paresis, or continued pain is worrisome for a complicated type B dissection requiring surgical intervention. C. [clinicaladvisor.com]

Both patients showed no pure TGA, but showed TGA-plus-syndrome with additional focal neurological signs such as mild left-side motor deficit, slight anisocoria, and mild facial paresis; therefore, they were classified as having ischemic stroke. [dx.doi.org]

Larson WL, Wald JJ: Foot drop as a harbinger of aortic occlusion. Muscle Nerve 1995;18:899–903. Le DA, Traynor EN, Ghazvini A: Aortic occlusion causing ischemic neuropathy and paraparesis. Neurology 2004;63:1984. [dx.doi.org]

Clinical manifestations comprise complete spinal cord infarction as well as anterior spinal cord syndrome, Brown-Sequard syndrome, progressive myelopathy or transient spinal cord ischemia [ 6, 12, 17, 21, 27 ]. [dx.doi.org]