Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇠🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
![Natural history
Aneurysms may progress in size as a result of gradual wall weakening [6], with rupture](data:image/jpeg;base64,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 "Natural history
Aneurysms may progress in size as a result of gradual wall weakening [6], with rupture ...")
