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Posted on May 13, 2020May 13, 2020 by Oshima

MKSAPクイズをご紹介

MKSAPクイズをご紹介します。
ACP Internist Weekly | TEST YOURSELF | MARCH 31, 2020

https://acpinternist.org/weekly/archives/2020/03/31/3.htm…

定期検診で発見された腹部大動脈瘤

69才男性が定期検診に受診。症状はない。高血圧の病歴が特記される。50パックイヤーの喫煙歴を有するが、7年前に禁煙している。アスピリン、リシノプリル、アムロジピンを服用中である。
身体診察 : バイタルサインは正常。腹部で血管雑音を聴取し、心窩部に拍動性の腫瘤が存在する。その他、特記することはない。腹部ドップラー超音波検査法で、6.2cm横径の腹部大動脈瘤が確認された。
マネージメントとして、最も適切な次のステップは、どれか?
A. 腹部大動脈と腸骨血管の造影CT
B.血管内治療
C.開腹による外科的治療
D.アムロジピンからメトプロロールに変更

正解と解説は以下のリンクを参照ください。
https://acpinternist.org/weekly/archives/2020/03/31/3.htm…

#腹部大動脈瘤

PRC 平野昌也

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C/O Vision Bridg, LLC.

Shin-kagurazaka building 2F
43 Tansu-machi, Shinjuku-ku, Tokyo 1620833 Japan

E-mail
office@acpjapan.org

 

Disclaimers

The findings and views expressed in the submitted article are his or her own and not an official position of the institution or the college.

Unless otherwise stated, this website and all content within this site are the property of the authors and are licensed under a Creative Commons BY Attribution 4.0 International license.

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