Aortic Syndrome Part Two: Abdominal Aortic Aneurysm

You place your hands on the patient's think you can feel it...thud...thud...thud...

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In the second part of our aortic syndromes series Dr Craig Douglas once again joined us to go through Abdominal Aortic Aneurysm (AAA)

In this episode we discuss:

  • Definition of an aneurysm and pseudoaneurysm
  • The screening process for AAA
  • When to suspect AAA
  • Diagnosing and managing ruptured AAA
  • Craig and Jamie's mutual bugbear that a FAST scan does not look for the abdominal aorta! 

For more information on the sensitivity and specificity of palpating a pulsatile-expansile mass here is our #OHMNHS blog on the subject

Here is our #TakeVisually for this episode 

Aortic Syndrome Part One: Aortic Dissection

Dr Craig Douglas came down to take us through aortic dissection, a rare but potentially fatal diagnosis.  We discuss who gets it, why they get it, how it presents and what we can do about it.  

  • The presentation of aortic dissection including 'Chest Pain Plus One' - Abdominal pain, Collapse, Neurological Symptoms, Syncope and Vascular Symptoms
  • The risk factors for aortic dissection and the Stanford Classification
  • What investigations might make us suspicious for aortic dissection including the chest radiograph features and the role of synchronous blood pressures in both arms
  • The management of aortic dissection
  • Potential future risk stratification  

Also check out the RCEM Learning Aortic Dissection page

For a slightly franker take on aortic dissection here is David Carr's talk on 'The Aorta will %$#@!& You Up' from SMACCDUB 2016. 

Here is our Take Visually for this episode: