Sob, new AI murmur if dissects to aortic valve/pericardium
Angina if involves coronaries
Abdominal pain if dissection extends distally and involves mesenteric vessels
Arm and/or leg ischemic sx if decreased flow to limbs
Physical Exam Findings
Sometimes asymmetry in strength of pulse (or loss of pulse entirely) of affected radial artery
Sometimes asymmetry in BP, with lower readings on affected arm
Stroke findings if involves carotids
Arm and/or leg findings of arterial insufficiency (e.g. cool, pale, decreased capillary refills, decreased and asymmetric distal pulses) if impaired arterial flow to limb(s)
Aortic insufficiency murmur (early diastolic along left sternal border), findings of pericardial effusion (diminished heart sounds, low bp, tachycardia) w/some type A dissections