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Medicine
A 67-year-old man presents to your office after community ultrasound screening revealed an aortic aneurysm measuring 3.0x3.5 cm Physical examination confirms a palpable, pulsatile, nontender abdominal mass just above the umbilicus. The patient's medical conditions include hypertension, hyperlipidemia, and tobacco use. What is the best recommendation for the patient to consider?
Watchful waiting is the best course until the first onset of abdominal pain
Surgery is indicated now except for the excess operative risk represented by the patient's hypertension and tobacco use
Serial follow-up with ultrasound, CT, or MRI is indicated, with the major determinant for surgery being aneurysmal size greater than 5.5 cm
Serial follow-up with ultrasound, CT, or MRI is indicated, with the major determinant for surgery being involvement of a renal artery
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