FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

This interactive feature allows readers to decide on the diagnosis or management of a clinical case. A case vignette is followed by specific clinical options, none of which can be considered either correct or incorrect. Readers can participate in forming community opinion by choosing one of the options and, if they like, providing their reasons.

Read the Case Vignette and consider the Treatment Options, then Vote and share your Comments.

Previous Volume 358:1617-1621 April 10, 2008 Number 15 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.

	Full Text PDF PDA Full Text Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear

Case Vignette

A 67-year-old man with a history of hypertension and hyperlipidemia is seen for a routine examination. His medications include hydrochlorothiazide (25 mg daily), simvastatin (20 mg daily), and aspirin (81 mg daily). He drinks alcohol rarely and does not smoke.

His body-mass index (the weight in kilograms divided by the square of the height in meters) is 27, consistent with overweight. His blood pressure is 140/85 mm Hg, and his heart rate is 72 beats per minute and regular. His cardiac examination is normal. Auscultation of the neck shows normal carotid upstrokes but reveals a middle-pitched bruit only in systole . . . [Full Text of this Article]

Treatment Options

Cast Your Vote

This article has been cited by other articles:

• Klein, A., Solomon, C. G., Hamel, M. B. (2008). Management of Carotid Stenosis -- Polling Results. NEJM 358: e23-e23 [Full Text]