Quiz — what’s the diagnosis?
Look at the images, read the history and pick the most likely diagnosis. Your score is kept on this device.
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CT
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Axial contrast-enhanced CT with colour overlay and numbered labels from the original source.
Image: J. Heuser, CC BY-SA 3.0 — source
Case 1012
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Presentation
Abrupt tearing chest pain radiating to the back. Known hypertension.
- The ascending aorta is divided by an intimal flap into two lumens (regions 1 and 2)
- The descending aorta (region 4) lies beside the vertebral body (region 5)
- Involvement of the ascending aorta makes this a Stanford type A dissection