Abdominal Aortic Aneurysm Quiz- Case 12 – WFUMB

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Question 1 of 2

1. Question
Clinical Description:

An overweight man presents with abdominal and back pain.

Is there an abdominal aortic aneurysm?
- Yes
- No
Correct

A band of gas is seen obscuring the distal part of the aorta in the transverse view, but the operator then obtains clear views, allowing assessment of the full length.

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Question 2 of 2

2. Question
Clinical Description:

An overweight man presents with abdominal and back pain.

What techniques can be used to improve visualisation if the aorta is not readily seen through its full length? (more than one answer may be correct)
- Use a lateral approach along the edge of the rectus muscles.
- Use a suprapubic approach angling superiorly through the bladder.
- Maintain firm pressure to encourage obscuring gas to move.
- Use a lateral approach in the flank, using the kidney as a window.
- Place the patient prone and scan immediately next to the spinous processes.
Correct

Constant firm pressure (not extreme!) and moving the probe slightly laterally allows a view of the distal aorta at the end of the longitudal view loop. The final image shows a view from the edge of the rectus sheath with the patient in the right lateral decubitus position, confirming normal size abdominal aorta.

Incorrect

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