AAA Flashcards
1
Q
what is abdominal aortic aneurysm
A
dilatation of abdominal aorta
diameter >3cm
2
Q
risk factors
A
male inc age smoking hypertension FHx existing cardiovascular disease
3
Q
AAA screening
A
men at 65yrs USS
if >3cm - vascular referral
if >5cm - urgent vascular referral
4
Q
screening for women
A
consider if >70yrs with known risk factors
5
Q
presentation
A
picked up on screening rupture non-specific abdo pain pulsatile + expansile palpable abdo mass incidental finding on X-ray, USS, CT
6
Q
diagnosing
A
USS
CT angiogram
7
Q
classification: normal
A
< 3cm
8
Q
classification: small aneurysm
A
3-4.4cm
9
Q
classification: medium aneurysm
A
4.5-5.4cm
10
Q
classification: large aneurysm
A
> 5.5cm
11
Q
Mx - reducing risk of progression
A
stop smoking
healthy diet
exercise
optiimse htn, diabetes, high cholesterol
12
Q
Mx- follow up scans
A
yearly if 3-4.4cm
3mo if 4.5-5.4cm
13
Q
Mx - elective repair if any of …
A
symptomatic aneurysm
diameter growing >1cm each year
diameter >5.5cm
14
Q
DVLA guidance
A
- inform DVLA if aneurysm >6cm
- stop driving if above 6.5cm
- stricter if drive lorry, bus etc
15
Q
ruptured AA: presentation
A
- severe abdo pain radiating to back/ groin
- haemodynamic instability
- pulsative,expansile abdo mass
- collapse
- LOS
