A 46 year-old woman with suspected renal hypertension undergoes imaging of the abdomen and pelvis. Ultrasonography show stenosis of the left renal vein where it crosses anterior to the abdominal aorta. An aneurysm of which of the following vessels
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A 46 year-old woman with suspected renal hypertension undergoes imaging of the
abdomen and pelvis. Ultrasonography show stenosis of the left renal vein where it
crosses anterior to the abdominal aorta. An aneurysm of which of the following vessels
is the most likely cause of this occlusion?
a. Celica trunk
b. Inferior mesenteric artery
c. Left colic artery
d. Middle colic artery
e. Superior mesenteric artery
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Solved in 2 steps
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- Assuming normal anatomy, which of the following landmarks is appropriate for gaining subclavian venous access? A. Needle insertion medial to the sternocleidomastoid muscle, just medial to the carotid artery B. Needle insertion above the inguinal ligament, lateral to the femoral artery C. Needle insertion at the midpoint of the clavicle with the needle directed toward the suprasternal notch D. Needle insertion at the lateral border of the clavicular head of the sternocleidomastoid muscle in the interscalene grooveA 52-year-old female with cirrhosis has returned for an urgent follow-up visit concerning new weight gain and swelling in her abdomen. Which of the following physical exam techniques is most helpful in identifying ascites? Answers: A - D A Palpation for suprapubic masses on supine patient B Percussion from the area of distal tympany to the area of dullness on a suspine patient C Inspection for jaundice and striae D Percussion from the area of central tympany to the area of dullness on a supine patient O Owhich of the following lab results would you expect in patient with hepatic encephalopathy? A. Elevated fibrinogen B. elevated secrum amnoia C. low serum glucose D. low serum albumin