Aaa

Question 1

Where?

Answer 1

90% between renal arteries and illiac bifurcation

Question 2

If one sided it is?

Answer 2

Saccular

Question 3

If both sided?

Answer 3

It is fusiform

Question 4

Risk factors for AAA?

Answer 4

Pfo rest degree relative, smoking, hypertension, age, male (6:1)

Question 5

Presentation of a ruptured AAA

Answer 5

Pulsatilla abdo mass, abdo pain radiating to back, tachy, hypotension

Question 6

Investigations

Answer 6

Bloods (Hb and CLOTTING), pregnancy test, ultrasound, CT in patients who do not need to be rushed to treatment

Question 7

Management

Answer 7

ABCDE, 2 large bore cannula to keep blood and fluid levels high until it can be closed

Question 8

Surveillance

Answer 8

Less than 5 cm = 5year survival of 80%
Less than 6 = 10% chance of rupture
Less than 7 = 30% chance of rupture

Question 9

What size must it be for surgery to be considered ?

Answer 9

Must be at least 5.5 cm in diameter

Question 10

What is it?

Answer 10

Enlargement of the aorta of at least 1.5 times than it is further up or greater than 3 cm in total