Carotid artery aneurysm

239 Carotid artery aneurysm

Instruction

Examine this patient’s neck.

Salient features

History

• History of hypertension

• History of diabetes

• History of smoking

• History of transient ischaemic attacks or an embolic stroke (a neurologic event was the presenting symptom in 37.5–100% of cases in one reported series).

Examination

• Pulsatile swelling along the course of the carotids, usually unilateral (the swelling may be firm) and at the base of the neck.

Proceed as follows:

• Auscultate over the mass for a bruit

• Look for Horner syndrome

• Tell the examiner that you would like to examine:

• all peripheral pulses

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Tags: 250 Cases in Clinical Medicine

Dec 4, 2016 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off

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