Shows a dissecting aneurysm of the descending aorta

Assignment Help Biology
Reference no: EM131123944

A 75-year-old male presents to the emergency department with a several-hour history of back pain in the interscapular region. His medical history includes a previous myocardial infarction (MI) several years ago, a history of cigarette smoking until the time of the MI, and hypertension that is well controlled with hydrochlorothiazide and lisinopril (Prinivil, Zestril). The patient appears anxious, but all pulses are intact. His blood pressure is 170/110 mm Hg and his pulse rate is 110 beats/min. An EKG shows evidence of an old inferior wall MI but no acute changes. A chest radiograph shows a widened mediastinum and a normal aortic arch, and CT of the chest shows a dissecting aneurysm of the descending aorta that is distal to the proximal abdominal aorta but does not involve the renal arteries. Which one of the following would be the most appropriate next step in the management of this patient?

Reference no: EM131123944

Questions Cloud

Survey human resource management : Individual Portion 3 - 5 slides with speaker notes of 200 - 250 words per slide (excluding Title and Reference slides):
What role do alveoli play : The surface area of the lungs in humans is about 70 square meters. how can this be so if the lungs are located in the small space of the thoracic cavity? What role do alveoli play in the nature of the surface area
Describe passive expiration : Describe inspiration stimulation by the inspiratory area of the brain. Describe passive expiration
Examination of the lungs : Findings include a few scattered bibasilar rales on examination of the lungs, an S3 gallop on examination of the heart, and no edema on examination of the legs
Shows a dissecting aneurysm of the descending aorta : A chest radiograph shows a widened mediastinum and a normal aortic arch, and CT of the chest shows a dissecting aneurysm of the descending aorta that is distal to the proximal abdominal aorta but does not involve the renal arteries
Learn to use different kinds of charts and graphs : Part 1: Include the age group of the activity you selected and identify what kind of chart or graph you would use for this activity and how. Be sure to be specific when identifying the chart/graph (don't just indicate a "graph," but the specific k..
Find all the critical points for the differential equation : Using Matlab, find all the critical points (aka equilibrium values) for the first differential equation. Note the polynomial f(y) has not been factored for you, so you will need to find the roots first.
What type of bone makes up the majority of the diaphysis : What type of bone makes up the majority of the diaphysis of long bones like the humerus? Describe the layers of bone tissue found here
Roman catholic church and the eastern orthodox church : Compare and contrast the medieval Roman Catholic Church and the Eastern Orthodox Church. Because the Eastern Orthodox Church was created in 1054, the historical context for the paper must be the 11th-16th centuries.

Reviews

Write a Review

Biology Questions & Answers

  How is reaction quotient different from equilibrium constant

If the resting membrane potential of a cell is -70mV and the thickness of the lipid bilayer is 4.5nm, what is the strength of the electric field applied across the membrane in V/cm ?

  Find expected phenotype ratio

Assume you have a pure breeding mutant donkey that has very large teeth and very large ears. Both phenotypes are completely recessive to the normal phenotype.

  Which molecule binds to the active site of an enzyme

Which molecule binds to the active site of an enzyme?

  Conditions and symptoms linked with paresis

A person in the car accident shows the following symptoms: extreme paresis on right side, involving the arm and leg; reduction of the pain sensation on left side.

  How are these activities accomplished

What kinds of things need to get into and out of a typical cell? How are these activities accomplished? Are there any diseases or adverse conditions directly related to problems of transport across membranes?

  Could both parents of a person with unattached earlobes

could both parents of a person with unattached earlobes have attached earlobes? why or why not?

  What organ synthesizes new erythrocytes

Where does ADH act in the kidneys, and what does it do and what is the baroreceptor reflex - what organ synthesizes new erythrocytes and thrombocytes? Does warfarin affect thrombocytes or not?

  Estimate the rate of heat loss by breathing

Consider a cold winter day with air temperature of 5C and relative humidity of about 20% (moisture content 0.001g H2O/g dry air). A person waiting at a bus stop inhales at an average rate of 7g dry air/min and exhales air .

  Describe an application for over expression of siderophores

How can altering ice nucleation protein production yield a bacterial strain useful to agriculture? Explain the logic and how this works.

  What would be the free energy for proton movement

What would be the free energy for proton movement from the intermembrane space to the matrix in a mitochondria under the following sets of conditions (please put answers in kcal/mole, and assume room temperature of 25° C).

  Q1 imagine there are 25 different species of protists

q1. imagine there are 25 different species of protists living in a tide pool. some of the species reproduce both

  Explain issues around access to care and prevention of

explain issues around access to care and prevention of illness as well as institutions that serve the aging healthy the

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd