Case presentation A 74-year-old woman presented to the ED with central chest pain radiating to her back. She described the pain as ‘unbearable’ and ‘tearing’ in nature. The woman provided the pain severity as 10/10. History The woman has a long history of hypertension and consumed bendroflumethiazide tablet. However, she does not take any other medication. Examination The elderly woman was uncomfortable even after the administration of opiate analgesia.

The early diastolic murmur was the loudest in the aortic region. Her pulse was collapsing. Heart rate: 120 /min Blood pressure: 120/50 mmHg (in left arm), 80/38 mmHg (in right arm) The chest X-ray image is attached for your reference. What is your most likely diagnosis for this woman? Reference : 100 Cases in Acute Medicine ##Disclaimer## The content provided on Docplexus is intended for educational purposes only. While we strive to…