The Rational Clinical Examination
David L. Simel, Drummond Rennie
Abdominal Aortic Aneurysm
Frank Lederle, Ed Etchells
Clinical Scenario
Topics Discussed:
abdominal aortic aneurysm, ruptured abdominal aortic aneurysm
Excerpt:
"You are performing a physical examination on an obese 65-year-old
man. You have been thorough with abdominal palpation and allowed
the abdominal muscles to relax enough so that you to feel the aortic
pulsation. You estimate it to be 2 cm wide, which is normal. Because
you have heard that abdominal palpation is less accurate in obese
patients, you wonder whether the examination findings exclude abdominal
aortic aneurysm (AAA)...."
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