Question 1 The “classic” presentation of a ruptured AAA is the triad of abdominal back or flank pain , a palpable abdominal aorta and hypotension. What percentage of patients present with this triad? Question 2 Where are the vast majority of abdominal aneurysms found? Name 2 shapes of aortic aneurysms. 3. Most patients who present Read more about AAA quiz[…]
Images and text Genevieve Carbonatto A 76 year old man presents to the Emergency Department with sudden onset of severe abdominal pain. He is known to have a AAA. On arrival he is in severe pain. He is clammy, cold and hypotensive (BP 76/40). He is tachycardic 130/min and tachypneic. He is unable to stay Read more about Ruptured AAA[…]
Images by Genevieve Carbonatto Measurement of the aorta should be made outer wall to outer wall in the transverse and longitudinal view. It is important to start as proximally as possible in the abdomen when examining the aorta. Most abdominal aortic aneurysms are infrarenal. Proximal aorta just below the SMA is 2.32 cm and millimeters inferior Read more about AAA thrombus[…]
Images and text by Genevieve Carbonatto An 85 year old presented to our Emergency Department with light headedness fatigue and SOB. BP 90 systolic on arrival , HR 100/min Bloods: haemoglobin of 78g/l, creatinine of 172micromol/l and urea of 13.9mmol/l. Haemoglobin 3 weeks prior to admission 90g/l Past history of AAA endovascular repair 4 years ago, Read more about The mystery of the falling haemoglobin[…]