aortic aneurysm rupture Flashcards
risk factors for rupture
rpidly expnding
lrge dimeter
smoking, tobacco use
classic triad of rupture
hypotension
severe, tearing back or abdominal pain
painful pulsatile mass
free rupture vs contained rupture
free rupture into the peritoneal cvity results in extensive blood loss
hemaatoma following rupture in the retroperitneaal space is sealed by the retroperitoneum, leading to less blood loss and a contained rupture
grey turner sign
physical examintion finding of flnk eccymosis due to retroperitonel bleeding
cullen sign
physical examination finding chracterized by priumbilical eccymosis and bluish-red discolouration
can be seen in ny dosease that causes rtroperitonel hemorrhage
other clinical features of rupture
nausea, vomiting
syncope secondary to severe blood loss
hematuria
initial treatment
large bore IV access
continuous monitoring: telemetry, pulse oximetry, BP checks or arterial line
hemodynmic support: fluids, blood transfusion
definitive treatment: EVAR or OSR
prognosis
high mortality rte
older age, LOC, cardiac arrest re poor prognostic factors
prevention
lifestyle measurees and smoking cessation
