Aortic dissection [top]

• Central chest pain

• Sudden onset

• Tearing character

• Radiation to back between shoulder blades

• Unequal peripheral pulses

• Hypotension

• Wide mediastinum on chest X ray

Pancreatitis [top]

• Epigastric pain or Chest pain

• Radiation to back

• Nausea and vomiting

• Excessive alcohol consumption

• Hypertriglyceridemia

• Gallstones