Abdominal bruit medical therapy

• In the critically ill patient with a ruptured aortic aneurysm, the first goal is to stabilize the patient and repair the aneurysm immediately.
• Treat underlying etiology
• Consult nephrology for appropriate management of renal insufficiency

In the patient with renal artery stenosis, the goal is to treat the hypertension

• In patients with bilateral stenosis, avoid ACE inhibitors.