Chronic mesenteric ischemia Quiz: Ace Your Exams
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A 68-year-old man with a history of myocardial infarction presents to his primary care physician’s office for a follow-up visit after an incidental imaging finding on CT angiography showed 75% occlusion of the celiac artery and 70% occlusion of the superior mesenteric artery. He has not experienced abdominal pain, nausea, vomiting, diarrhea, or weight loss. He states he has his usual good appetite. He currently smokes 1 pack per day of cigarettes. His medications include aspirin, clopidogrel, atorvastatin, lisinopril, and metoprolol. Temperature is 37 °C (98.6 °F), blood pressure is 118/76 mmHg, pulse is 62/min, respiratory rate is 14/min, and oxygen saturation is 100% on room air. On physical examination, his abdomen is nontender and without rebound or guarding. Which of the following is appropriate management at this time?
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