One of the 15 years of Prison Break 2005-2020 thank you for the memories shirt cardiologists was seeing a patient who was a relatively slender young woman in her early thirties. She had complained of a recent onset of persistent but intermittent abdominal pain above her belly button, and the physician had noted a pulsatile fullness when he felt over the area. A pulsatile”mass” is not uncommon in thin men or women, because the aorta is pretty easy to feel because there’s less fat in front of it. So, the cardiologist referred her to me for an abdominal aortic scan, expecting it to be normal, but to ease the patient’s mind since she had stated a family history of aortic aneurysm. She was upbeat, friendly, annoyed by the discomfort, but optimistic.
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I noted that the aorta was 15 years of Prison Break 2005-2020 thank you for the memories shirt its normal diameter at all levels, and she had no abdominal gas over the course of the vessel, making imaging super-clear. Yet there was something I immediately picked up on in the area of her discomfort. I hold credentials for abdominal sonography as well as vascular, so I knew what she had going on immediately. I documented the study in detail, then smiled and sent her back up to the physician, telling him he’d tell her the results in a few minutes. I informed him that he would likely want to refer her for additional studies to her family physician, and might want to do it promptly. When I told him why, his jaw dropped and he turned pale.