A 70-year-old man presents with sudden onset of severe epigastric pain, radiating to his back. His vitals are HR 85, BP 175/90, Sats 99% RA, RR 22, and he is afebrile. Can you solve the case? ⬇️ Tweet added by LITFL @LITFLblog

LITFL

11 months

A 70-year-old man presents with sudden onset of severe epigastric pain, radiating to his back. His vitals are HR 85, BP 175/90, Sats 99% RA, RR 22, and he is afebrile. Can you solve the case? ⬇️

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MEDICOSE FEVER 🩺

@MEDICOSEFEVER

11 months

@LITFLblog Intramural hematoma (IMH ) ⭕Risk factor: severe HTN 🛑There is pleural effusion 🛑 Hematoma of aorta

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Penny

@Pennyae

11 months

@LITFLblog 90% on hx

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