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Previous Volume 334:1272-1273 May 9, 1996 Number 19 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: The last place an 85-year-old patient with hypotension, severe abdominal pain, and a pulsatile abdominal mass should be is in the computed tomographic (CT) scanner (Images in Clinical Medicine, Jan. 4 issue).¹ Instead, this patient should have been taken immediately to the operating room, bypassing the radiology department altogether. This is a classic example of a situation in which physicians must rely on the signs and symptoms found at the bedside and act on their intuition, rather than falling back on unnecessary confirmatory tests.

Steven J. Eskind, M.D.
Surgical Specialists of Nashville
Nashville, TN 37205

References

1. Gervais DA, Whitman GJ. Ruptured abdominal aortic aneurysm. N Engl J Med 1996;334:27-27. [Free Full Text]

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