Inpatient admission
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1. Inpatient admission (episode 1): The reason for this woman’s admission was repair of a 4.7-centimeter infrarenal abdominal aortic aneurysm. She also had arterial hypertension. Because of her strong family history of aneurysms, she wished to have her aneurysm removed on an elective basis rather than waiting for it to follow its natural course. At surgery, via an open approach, the aneurysm sac was cut open, the aneurysm was excised, and a 16-millimeter Dacron graft was placed. The procedure was successful, and the patient was discharged on the fifth postoperative day. Discharge diagnoses: (1) Infrarenal abdominal aortic aneurysm, (2) arterial hypertension. Physician office visit (episode 2): The patient presented for routine follow-up examination of an abdominal aortic aneurysm repair with graft replacement. She was doing well, with only mild discomfort. The midline incision was well healed. Femoral and distal pulses were palpable bilaterally. She was to return in three months. Diagnosis: Status post aortic aneurysm.
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