Abdominal Aortic Aneurysm Flashcards
1
Q
What is it
A
dilation of the abdominal aorta greater than 3cm
dangerous- if ruptures can be a fatal surgical emergency
due to weakened aortic wall usually due to atherosclerosis/ congenital precondition
2
Q
who gets it
A
M>F
aged >65
smokers
3
Q
how does a AAA present
A
generally asymptomatic
pulsatile and expansile mass when palpated with both hands
stomach/ lower back pain
4
Q
how do you investigate a AAA
A
CT Angiogram is gold standard
Ultrasound
5
Q
how do you manage a AAA
A
Aneurysm repair (open or endovascular) if >5.5cm or rapid expansion
conservative e.g. stop smoking, eat healthy, management of hypertension