A 54-year-old man is brought to hospital 20 minutes after acute-onset chest pain radiating to his back. He has a history of scoliosis treated with vertebral fusion surgery. Vitals are: temperature 99.0F, HR 110, RR 20, BP 95/60. Physical examination shows diminished pulses in the right arm. Which of the following is the most likely diagnosis?
Aortic aneurysm
Aortic coarctation
Aortic dissection
Aortic obstruction
Aortic stenosis
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Cut-to-the-chase Answer (0:44):
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HY USMLE Answer (3:35):