Pulsatile Mass

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Pulsatile Mass

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new_n_lost
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07/06/07 - 03:03 PM

During a routine physical examination of a 74-year-old man, a physician palpates a large, pulsating mass in the lower abdomen.

To which of the following is this mass most likely etiologically related?

A. Atherosclerosis
B. Bacterial infection
C. Congenital anomaly
D. Cystic medial degeneration
E. Syphilis

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drhouse
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07/06/07 - 03:46 PM

A.

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po
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07/06/07 - 04:19 PM

SILVER
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07/06/07 - 05:10 PM

A. Atherosclerosis

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jean robert
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07/06/07 - 05:46 PM

A for sure nod

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drduck
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07/07/07 - 07:37 AM

A..

rainy
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07/07/07 - 01:27 PM

new_n_lost
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07/07/07 - 08:23 PM

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new_n_lost
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07/07/07 - 08:24 PM

The correct answer is A.

The mass is an abdominal aortic aneurysm, typically found in older men. Such aneurysms are almost always related to the formation of complicated atherosclerotic plaques in the aorta. Associated coronary artery disease is commonplace.

Bacterial infection (choice B) can cause "mycotic" aneurysms; these usually involve smaller vessels.

The small berry aneurysms that can involve the circle of Willis are congenital anomalies (choice C).

Cystic medial degeneration (choice D) is related to the development of dissecting aneurysms (actually dissecting hematomas).

Tertiary syphilis (choice E) typically causes aneurysms of the root and arch of the aorta, rather than the descending aorta.

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"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

drmohamed811
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07/08/07 - 10:48 AM

#10

YES New-n-Lost the correct answer is A

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new_n_lost
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07/08/07 - 04:15 PM

#11

drmohamed811 wrote:
YES New-n-Lost the correct answer is A

doc179
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07/08/07 - 06:24 PM

#12

drmohammed NNL is the one who posted the qn, so he would definitely know what the right answer is..I think , may be you just wanted to confirm.

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