How is presentation of aortic dissection?

Typical: • Acute chest pain. • Abrupt onset. • Stabbing pain. • Irradiating pain to the back. • Migrating pain to the lower back. • Tearing sensation. • Hypertensive patient. Atypical: • Neurological deficit or syncope: complete or partial obstruction of carotid arteries. • Hypotension: cardiac tamponade or massive bleeding. • Shortness of breath: hemothorax • Acute limb ischemia, acute mesenteric ischemia, acute renal artery obstruction renal failure