James is an 85-year-old male who presents to the ER complaining of a “strange and pulsating sensation in the middle

James is an 85-year-old male who presents to the ER complaining of a “strange and pulsating sensation in the middle of my abdomen, near my belly button.” He states it has been occurring for the past three days as well as deep pain in his lower back. Auscultation of the abdomen revealed a significant bruit over the aorta and palpation revealed some tenderness and a pulsatile mass.

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