RT Journal
A1 Prasad V
T1 AN unmeasured harm of screening
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2012
FD October 22
VO 172
IS 19
SP 1442
OP 1443
DO 10.1001/2013.jamainternmed.682
UL http://dx.doi.org/10.1001/2013.jamainternmed.682
AB 
Mr R was such a patient. A 65-year-old, obese former smoker with a history of myocardial infarction and persistent risk factors (hypertension and hyperlipidemia), Mr R had undergone a total knee arthroplasty at age 60 years because of osteoarthritis. Thereafter, he was able to walk a mile at a stretch but could go no further because of persistent joint pain. A veteran of Vietnam, Mr R underwent screening ultrasonography for AAA when the clinical reminder system of the US Department of Veterans Affairs prompted his primary care physician. He was found to have an aneurysm of 6.0 × 4.7 cm on the ultrasonogram. Mr R's primary care physician discussed the case with a vascular surgeon, who recommended a follow-up computed tomography (CT) scan with contrast and prompt follow-up in the vascular clinic.