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A 67-year-old female presents to the ED after a transient episode of visual loss in her right eye. She reports that she has had right-sided headache for several months, for which she takes ibuprofen, with some relief. On physical examination, she has tenderness over her scalp in the left temporal region and complains that her jaw “gets tired with chewing.” Neurologic examination is normal with no focal deficits. Vital signs are as follows: Temperature 101.1°F, HR 72, RR 16, BP 140/82. Which of the following is associated with this condition?Ask StudybuddyGroup of answer choicesInflammatory bowel diseaseAortic aneurysmHepatitis BAlcohol historySmoking history

Question

A 67-year-old female presents to the ED after a transient episode of visual loss in her right eye. She reports that she has had right-sided headache for several months, for which she takes ibuprofen, with some relief. On physical examination, she has tenderness over her scalp in the left temporal region and complains that her jaw “gets tired with chewing.” Neurologic examination is normal with no focal deficits. Vital signs are as follows: Temperature 101.1°F, HR 72, RR 16, BP 140/82. Which of the following is associated with this condition?Ask StudybuddyGroup of answer choicesInflammatory bowel diseaseAortic aneurysmHepatitis BAlcohol historySmoking history

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Solution

The patient's symptoms suggest a condition called Temporal Arteritis (also known as Giant Cell Arteritis). This is a condition where the large blood vessels, particularly those supplying the head and neck, become inflamed. Symptoms often include headache, scalp tenderness, jaw pain, and visual symptoms.

Among the options provided, an Aortic Aneurysm is associated with this condition. Temporal arteritis can cause inflammation of the aorta, the main blood vessel that carries blood from your heart to the rest of your body. This can lead to an aneurysm, or a bulge in the aorta that can potentially rupture, causing life-threatening internal bleeding.

Therefore, the correct answer is Aortic Aneurysm.

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