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Correspondence
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Volume 343:1199 October 19, 2000 Number 16
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Aortic Dissection Presenting as Bilateral Testicular Pain

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To the Editor: A 77-year-old man came to the emergency room with a two-day history of sharp bilateral testicular pain. He had no history of trauma, fevers, chills, abdominal or back pain, dysuria, hematuria, penile discharge, frequency, or urgency. The pain had begun while he was resting in bed and had progressively worsened. His medical history included hypertension, chronic obstructive pulmonary disease, chronic renal insufficiency, and anemia. He had no history of renal calculi. His outpatient medications consisted of fosinopril and inhaled albuterol and ipratropium. The patient's temperature was 36.8°C, his blood pressure was 198/110 mm Hg, and he had . . . [Full Text of this Article]

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