Chest pain? Of course
Back pain? Sure, often times
Abdominal pain? Occasionally
Those are the easy ones.
OK, how ’bout recurrent cough that won’t go away after two weeks and a course of antibiotics? No pain anywhere. Yep. Had a dissection.
See, this is why we often order random stupid studies. It only takes one of these cases and you are so humbled (even if you don’t get sued) that you start scanning everyone. It never ends!!!!