Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
Copyright 1999 American Medical Association.
All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1999
In Reply: We agree with Dr Callis
that patients with abdominal pain and shock should be taken directly to
the operating room. However, many patients with ruptured AAAs have a
more subtle presentation, and, in these cases, diagnostic confirmation
is often necessary.1 Our intention was to emphasize that
once a ruptured AAA is suspected, physical examination alone should not
be relied on to exclude the diagnosis.
Lederle FA. Illness and Culture. JAMA. 1999;281(21):1989. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-21-jbk0602