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? Less than 25% of patients present with this presentation which is why a high clinical suspicion [...]
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 [...]
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 [...]
