Best flags I’ve seen are pain that’s sudden, maximal at onset, and “worst ever.” Sharp or tearing/ripping pain is next, and the vast majority localize it to somewhere in the thorax (chest, back, in between) for TAD, but after that everything takes a bit of a dive. As you say, it’s almost the sister of a subarachnoid.
Very nice differentiating aneurysm from dissection; that confusion is very very common. The trouble, I think, is that even when you make the distinction, a lot of folks say “so who cares?” and that’s tricky to answer.
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