54 yo male presented to Fast Track with 2 weeks of back pain after lifting heavy objects at work. In ED, patient was noted to have a BP 210/130 mm Hg. No chest pain/SOB/abdominal pain.

POCUS of aorta was performed with the following images obtained:

Type A and B aortic dissection and AAA! Two in one – what are the chances?

“Never say never in Medicine!”

Teaching point: DO YOUR BEDSIDE ULTRASOUNDS LIBERALLY!!!! We teach you how to be good with the probe for a reason.