A 54 year old man is brought to the emergency room from his doctor's office. - Diagnosis Chart Blood Pressure Auscultation Diagnosis Patient Chart History: A 54 year old man is brought to the emergency room from his doctor's office. Chief complaint is sudden onset of severe chest discomfort. Discomfort had a tearing nature. Test Results: Decreased red blood cell count. EKG is normal. Chest x-ray shows evidence of an aneurysm of the ascending aorta. Transesophageal echo shows separation of the layers of the ascending aorta. Heart Rate: Blood Pressure: / Heart Sounds: Lung Sounds: Diagnosis What is your diagnosis? Aortic DissectionRuptured SpleenCostochondritis Table of Contents Introduction 140 year old man with headaches and shortness of breath 245 year old woman with headache and facial swelling 3A 50 year old man with weight loss, fatigue, weakness... 4A 65 year old woman with a two hour history of chest pain and dizziness. 5A 54 year old man is brought to the emergency room from his doctor's office. 6A 45 year old man complains of shortness of breath with exertion. 7Ten year old girl brought to office by mother. 8A 60 year old woman enters emergency room after a recent fainting episode. 9A 45 year old woman complains of a two month history of fast heart rate and palpitations. 10A 75 year old woman complains of lethargy ... Today's Score