A 56-Year-Old Man Complains of Pain in His Right Groin

question 816

Multiple Choice

A 56-year-old man complains of pain in his right groin 3 days after cardiac catheterization.  He underwent the procedure after 2 months of intermittent chest pain.  The coronary angiogram showed mild nonobstructive coronary disease.  He has no fever, chest pain, leg numbness, or cold feet.
Vital signs are normal.  The puncture site at the right femoral artery shows no erythema or ecchymosis.  A tender mass is palpated below the right inguinal ligament near the puncture site.  Bilateral popliteal and posterior tibial pulses are full.
Which of the following is the best next step in management of this patient?

• A)Doppler ultrasound
• B)Needle aspiration
• C)Noncontrast CT scan of the pelvis
• D)Oral antibiotics
• E)Reassurance and local compresses

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Definitions:

Electrical Signals

Electrical signals are impulses generated by the movement of ions across cell membranes, commonly found in nerve and muscle cells, facilitating communication within the body.

Neurotransmitters

Chemical messengers that transmit signals across a synapse from one neuron to another.

Paracrines

Signaling molecules released by cells that affect other nearby cells.

Hormones

Chemical messengers produced by the endocrine glands that regulate various bodily functions and processes.