Topics:

ubmslateCL-logo-ubm

CL Mobile Menu

Screening for Vascular Disease in a Former Smoker

Screening for Vascular Disease in a Former Smoker

As part of his preparation for retirement, a 66-year-old executive undergoes a complete physical examination. He is in good health and has no symptoms to report. Along with other age-appropriate screening studies, you discuss testing for vascular disease with him.

HISTORY
The patient has had mild hypertension for about 10 years; it is currently well controlled with a low-dose angiotensin-converting enzyme inhibitor. He consumes 1 or 2 drinks daily. He does not smoke but was a half-pack to pack-a-day smoker when he was younger.

PHYSICAL EXAMINATION
His weight is normal for his age and body habitus. Physical findings, including blood pressure, are all within normal limits.

LABORATORY AND IMAGING RESULTS
A hemogram, blood chemistry results, ECG, and chest radiograph are all normal.

Which of the following statements is correct?

A. A one-time screening for abdominal aortic aneurysm (AAA) by CT scanning is indicated now.
B. AAA screening has been effectively performed by your careful abdominal examination in this non-obese man.
C. A one-time screening for AAA by ultrasonography is indicated now.
D. If an AAA is detected, he will require surgery for repair.
 

Pages

 
Loading comments...

By clicking Accept, you agree to become a member of the UBM Medica Community.