About abdominal and back pain

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A 78 year-old man presents to his care provider with persistent abdominal and back pain. He also occasionally has numbness and pain in the legs. On examination a palpable mass in the lower abdominal midline is palpated. On auscultation a blowing sound is heard over his mass. The nurse is concerned about possible rupture. Which additional finding most significantly indicates the patient is at an increased risk?

Reference no: EM133867821

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