It can be a carotid aneurysm or a tumor???
A 52-year-old patient with a history of hypertension a year ago and previous consumption of losartan 50mg / 12hours, manifests palpitations of the head from a year ago, but reports that in the last two days palpitations increase accompanied by diarrhea, vision blurred, heat waves and facial flushing, with no changes in weight and vomiting. The physical examination presents: Carotid dance and a small pulsating non-blowing mass on the lateral side of the neck, there is a slight superficial temporal pulsation, the heart sounds are rhythmic without murmur, without pulmonary aggregates, normal bowel sounds, No edema of the limbs inferior, the pulses are symmetrical and bulging in the 4 extremities.