Aortic dissection

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Aortic dissection

RF: CocaineType A: Proximal and ascendingType B: Distal and descendingPulse/BP asymmetry between limbsDx: CXR shows widened mediastinumTEE and CT are the bestTreat: BB and nitroprussideIf type A: SurgryIf type B: BB and pain meds