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David Carr teaches you how not to miss the diagnosis of aortic dissection. David breaks down the key pearls on history and physical exam that guide you into correctly suspecting a dissection. Aortic dissection is a challenging diagnosis that you cannot afford to miss. The talk aims to give you the framework to avoid missing the diagnosis. Firstly, David begins by teaching you what questions to ask in the history to raise the suspicion of an aortic dissection. These include onset, quality, and radiation. As he explains, these simple three questions will raise the suspicion in the vast majority of cases. If you do not ask these three questions, you may as well be flipping a coin! Secondly, David goes on to an in-depth explanation of the pain patterns that can present in an aortic dissection. He describes the concept of chest pain plus one. David delves into what he sees as the questions and considerations only a ‘master clinician’ will think of. He implores you to join this group. Evidently, the physical exam p