Lady came in with possible stroke symptoms (numbness, weakness, difficulty speaking, gail abnormalities). CT Brain unremarkable. Lab work was really odd. We were thinking cancer so we decided to CT her chest and abdomen as well. Turns out she had a dissection the entire length of her abdominal aorta and going into her right femoral artery. Left femoral had an aneurysm and was beginning to dissect as well. She had formed a massive clot throughout her abdomen that was miraculously keeping her alive. Basically all of her organs were ischemic (dead).
About 5 different teams showed up in the ER to see her. After HOURS of discussion, the consensus was that there wasn't a damn thing anyone could do. We sent her to hospice.