Carotid artery stenosis screening Quiz: Ace Your Exams
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A 48-year-old man presents to his primary care physician’s office for a routine physical exam. He is in his usual state of health. He has hypertension and takes amlodipine. He has sleep apnea and uses a CPAP machine nightly. He smokes ½ pack of cigarettes daily. He does not drink and smokes marijuana approximately once a month at social gatherings. He has been exposed to asbestos through his job doing construction. His father had a myocardial infarction at the age of 75. Temperature is 36.4 °C (97.5 °F), pulse is 75/min, blood pressure is 130/72 mmHg, and respirations are 14/min. BMI is 24 kg/m2. Cardiopulmonary examination is normal. Carotid upstroke is normal bilaterally. Abdominal examination is normal. There is no lower extremity edema. In addition to hypertension, which of the following is an indication for ultrasound evaluation for carotid artery disease?
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