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Walk the Even Hospital Database by book and chapter — the raw source passages that ground Ask, DDx, and the rest.
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©2013 UpToDate ® Print Email Presentations of aortic dissection based on affected structures Clinical findings Artery or structure involved Aortic insufficiency or heart failure Aortic valve Myocardial infarction Coronary artery (often right) Cardiac tamponade Pericardium Hemothorax Thorax Stroke or syncope Brachiocephalic, common carotid, or left subclavian arteries Upper extremity pulselessness, hypotension pain Subclavian artery Paraplegia Intercostal arteries (give off spinal and vertebral arteries) Lower extremity pain, pulselessness, weakness Common iliac artery Abdominal pain; mesenteric ischemia Celiac or mesenteric arteries Back or flank pain; renal failure Renal artery Horner syndrome (ptosis, miosis, anhidrosis) Superior cervical sympathetic ganglion