Abdominal Aortic Aneurysm Quiz- Case 09 – WFUMB

Question 1 of 2

1. Question
Clinical Description:

A middle aged man presents with left flank pain radiating to the groin.

Is there an aortic aneurysm?
- 1. Yes
- 2. No
Correct

The aorta is normal.

Incorrect
Question 2 of 2

2. Question
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Clinical Description:

A middle aged man presents with left flank pain radiating to the groin.

Why is the aorta always imaged as part of the protocol for renal colic?
- 1. Scanning the aorta is used to check machine settings and image quality.
- 2. Abdominal pressure from scanning the aorta results in bowel gas moving to give better images of the ureters.
- 3. A ruptured aortic aneurysm can mimic renal colic, causing identical pain and also micro - or even macroscopic haematuria.
- 4. There is no indication for scanning the aorta in renal colic and it wastes time.
Correct

Prior to the advent of rapidly accessible imaging, misdiagnosis of abdominal aortic aneurysm was common (many series describing one third of cases being misdiagnosed). Haematuria is well described, even including massive haematuria which may suggest the formation of arteriovenous fistula and venous congestion of the kidney and bladder.

Incorrect

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