A 58-year-old man went to the ED with chest pain he described as “ripping” that started suddenly as he was helping his wife move furniture. The pain radiated down his back. In the ED, he complained of abdominal pain and monoparesis of his left leg. The patient reported a history of cigarette smoking.
Could it be a myocardial infarction, pulmonary embolism, angina pectoris, or an aortic aneurysm dissection?
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