USMLE Forum Archives - USMLE Step 2 CK - IM 24
IM 24
Brainlab - 12-11-06 09:53
A physician is called to see a 69-year-old woman who underwent cardiac catheterization via the right femoral artery earlier in the morning. She is now complaining of a cool right foot. Upon examination she has a pulsatile mass over her right groin with loss of her distal pulses, and auscultation reveals a bruit over the point at which the right femoral artery was entered. Which of the following is the most likely diagnosis?
A. Cholesterol emboli syndrome
B. Femoral aneurysm
C. Femoral hernia
D. Femoral pseudoaneurysm
E. Retroperitoneal hematoma
Brainlab - 12-11-06 09:53
A physician is called to see a 69-year-old woman who underwent cardiac catheterization via the right femoral artery earlier in the morning. She is now complaining of a cool right foot. Upon examination she has a pulsatile mass over her right groin with loss of her distal pulses, and auscultation reveals a bruit over the point at which the right femoral artery was entered. Which of the following is the most likely diagnosis?
A. Cholesterol emboli syndrome
B. Femoral aneurysm
C. Femoral hernia
D. Femoral pseudoaneurysm
E. Retroperitoneal hematoma
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#5
Re: IM 24 babbu5508 - 07-07-10 22:14 D. Femoral pseudoaneurysm
Iatrogenic pseudoaneurysms (IPA) form when an arterial puncture site fails to seal, allowing arterial blood to ooze into the surrounding tissues and form a pulsatile hematoma
#6
Re: IM 24 bingousmle - 07-11-10 02:35 she has a pulsatile mass over her right groin with loss of her distal pulses, and auscultation reveals a bruit over the point at which the right femoral artery was entered which looks like a femoral pseudoaneurysm
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