Case 338

Case 338

Medical history

Male patient, 47 years old, reporting pulsatile neck mass on the right side, with progressive growth in the past 8 years, asymptomatic. Hypertensive, alcoholic, ex-smoker, denies coronary artery disease or previous stroke. Treatment for syphilis in 2010. No family history of similar lesions, allergies and/or use of medication. Absence of neurologic deficits and wide, rhythmical and symmetrical peripheral pulses.



Question:
Considering the clinical history and the picture above, what is the most likely diagnosis?

Test Question

State Commission for Medical Residency - CEREM BAHIA - Unified Medical Residency Process (2015, Modified) - Male patient, 64 years old, hypertensive and ex-smoker (quit smoking 10 years ago), completely asymptomatic, during the urologic routine evaluation received the ultrasonographic diagnosis of increase of the abdominal aorta dimensions, quantified as 4,8 cm latero-lateral and 5,6 cm anteroposterior. His father had two aneurysms in the left iliac artery.

Question:
Considering the presented history, the main risk factors for the abdominal aorta aneurysm in the case are:

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