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Question 1 of 2
An elderly lady presents with dizziness and vomiting. The intern thinks there is a pulsatile mass. The patient is unsure of her past medical history (due to memory loss).
Describe the ultrasound findings?Correct
Within the AAA is the echogenic walls of the trouser leg graft. The longitudinal view in image 5 shows one of the ‘trouser legs’ but the other is out of planeIncorrect
Question 2 of 2
An elderly lady presents with dizziness and vomiting. The intern thinks there is a pulsatile mass. The patient is unsure of her past medical history (due to memory loss)
Is there a graft leak?Correct
Ultrasound may sometimes show a large graft leak, but this is beyond basic AAA scanning. Colour flow may be seen behind a reflective interface (such as a graft wall) due to mirror image artefact, so be careful not to overdiagnose. Once a graft is placed there will be thrombus between the graft and the wall of the aorta (but the AAA should stop growing).Incorrect