Question

question 98
1 pts
a patient is in clinic for evaluation of sudden onset of abdominal pain. the provider palpates a pulsatile, painful mass between the xiphoid process and the umbilicus. what is the initial action?
order a cbc, type and crossmatch, electrolytes, and renal function tests.
perform an ultrasound examination to evaluate the cause.
schedule the patient for an aortic anglogram.
transfer the patient to the emergency department for a surgical consult.

Explanation:

A pulsatile, painful mass between the xiphoid process and umbilicus may indicate an abdominal - aortic aneurysm (AAA) which can be life - threatening. An ultrasound is a non - invasive, quick, and effective initial diagnostic tool to evaluate the presence and size of an AAA. Ordering blood tests (CBC, etc.) is not the first step. Aortic angiogram is more invasive and not the initial test. Transferring to the ED for a surgical consult without initial diagnosis is premature.

Answer:

Perform an ultrasound examination to evaluate the cause.