List clinical features.
Sudden and severe tearing/ripping pain
Hypertension or hypotension
Asymmetrical blood pressure and pulse readings between limbs
Wide pulse pressure [6]
Syncope, diaphoresis, confusion, or agitation
Describe the sudden/severe tearing/ripping pain in more detail (location, character).
Location
Anterior chest (ascending) or back (descending)
Interscapular or retrosternal pain
Neck and jaw
Abdomen or periumbilical, colicky pain
Character: migrates as the dissected wall propagates caudally
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