Question

Nathan, age 63, comes for his annual physical. He has a history of mild hypertension and hyperlipidemia that he has not been successful in treating by diet and weight loss. His only complaint is a problem with impotence. On physical examination, you note a palpable, pulsatile abdominal mass in the umbilical region; a bruit above the umbilical region; and diminished femoral pulses. You suspect:

A. Renal artery stenosis.
B. An abdominal aortic aneurysm.
C. A cardiac tumor.
D. A thoracic aortic aneurysm.

Answer 1

Nathan is likely experiencing an abdominal aortic aneurysm, as indicated by his symptoms during the physical examination.

Step-by-step explanation:

Based on the symptoms mentioned during the physical examination, such as a palpable, pulsatile abdominal mass, a bruit above the umbilical region, and diminished femoral pulses, the most likely condition that Nathan is experiencing is an abdominal aortic aneurysm (Choice B).

An abdominal aortic aneurysm is a condition where the arterial wall in the abdominal aorta weakens and bulges. It can cause symptoms such as a pulsatile mass, a bruit, and decreased circulation in the lower extremities.

To confirm the diagnosis and determine the appropriate treatment, Nathan should undergo further medical evaluation, such as imaging studies like an ultrasound or CT scan.

Learn more about Abdominal aortic aneurysm