A 68 year old male patient presents to the ER with tearing abdominal pain radiating to the the back at the interscapular region. He is not a smoker but he has a long history of hypertension, and he is not compliant with his medications. Heart examination is not remarkable except for an abnormal heart sound just before S1. CT scan of the chest shows biluminal aorta that starts at the beginning of the descending aorta. What can be possibly seen on clinical examination:
a- Blood pressure measured at the right arm is higher that of the left arm
b- Blood pressure measured at the left arm higher that of the right arm
c- Bilateral lower limb weakness with palpable femoral pulses
d- Blood pressure measured at the lower limbs are higher than that of the upper limbs.
a- Blood pressure measured at the right arm is higher that of the left arm
b- Blood pressure measured at the left arm higher that of the right arm
c- Bilateral lower limb weakness with palpable femoral pulses
d- Blood pressure measured at the lower limbs are higher than that of the upper limbs.