young_doc
Forum Guru
Topics: 58
Posts: 737
|
2. A 67-year-old woman is evaluated because of intermittent lower back pain of 4 weeks' duration. The pain is dull, nonradiating, and nonpositional, and is unrelated to meals or exertion.
On physical examination, blood pressure is 145/85 mm Hg, and heart rate is 86/min and regular. Abdominal examination shows a midline pulsatile mass. No spinal or costovertebral angle tenderness is noted. Distal pulses are normal.
Abdominal ultrasound shows a 4.8-cm abdominal aortic aneurysm that originates from the celiac trunk and extends below the renal arteries.
Which of the following is the most appropriate next step?
( A ) Follow-up ultrasound in 6 months
( B ) Follow-up ultrasound in 12 months
( C ) Hospitalization and vascular surgery
( D ) Lumbar spine magnetic resonance imaging
( E ) Simvastatin
___________________
First Aid is my Bible...
|
| doc_clotaire
Forum Guru
Topics: 159
Posts: 1,301
|
( C ) Hospitalization and vascular surgery
___________________
The elevator to succes is broke ,you must take the stairs
|
| Justice
Just signed contract
Topics: 118
Posts: 2,369
|
Although size (4.8) is not a direct indication to surgery in this Pt, the localization of aneurysm demands prompt ( C ) Hospitalization and vascular surgery
___________________
The winner takes it all...
|
| sachida
Forum Guru
Topics: 62
Posts: 625
|
Thanks justice, you made it clear for me.
___________________
Past is a history. Tomorrow is a mystery. What you have today is gift of God- that is why it is called present. Enjoy it...
|
| muzammil
Forum Guru
Topics: 16
Posts: 690
|
c
|
| nany
Forum Guru
Topics: 14
Posts: 1,060
|
C C C C
___________________
" You Are Limited Only By What You Think "
|
| NE
Forum Guru
Topics: 53
Posts: 504
|
Indication for operation:
-Rupture
-Symptomatic aneurysm (Epigastric pain ,back pain )
-Rapid expansion
-Asymptomatic > 5 cm – exact lower limit controversial
|
|
| |
| | | | | | | |
Similar forum topics