How is PE of aortic dissction? DD?

• Examine 4 limbs: - Asymetric pulses (not always present). - Asymetric blood pressure values (not always present), > 20 mmHg if present. • Heart auscultation: Diastolic aortic murmur due to aortic valve regurgitation (not always present) DD: • Myocardial infarction: - perform ECG and cardiac enzymes. • Cerebro-vascular accident: - perform carotid ultrasound and/or brain angio-scanner. • Pulmonary embolism: - perform a chest angio-scanner. • Pericarditis or Pericardial effusion and tamponade: - perform a cardiac ultrasound and/or a chest angio-scanner