Abdominal Aortic Aneurysm Quiz- Case 16 – WFUMB

Question 1 of 2

1. Question
Clinical Description:

65 yr old female with sudden onset of severe abdominal and back pain.

What is the most correct interpretation?
- 1. Normal aorta.
- 2. Aortic aneurysm.
- 3. Aortic dissection.
- 4. Inadequate view as only the distal aorta has been imaged.
Correct

Aortic dissection – there is an echogenic flap with in the lumen. It does not have the appearance of an artefact

Incorrect
Question 2 of 2

2. Question
Clinical Description:

65 yr old female with sudden onset of severe abdominal and back pain.

The patient has SBP 90mmHg, GCS 15, looks unwell and is in severe pain. Please select all the appropriate ED measures …
- 1. Fluid bolus.
- 2. Fluid restriction.
- 3. Analgesia.
- 4. Discourage analgesia.
- 5. CT angiogram of thorax and abdomen.
Correct

Initial management of distal dissection is control of blood pressure with analgesia, B blockers and other anti-hypertensives. CT should be performed to confirm the diagnosis and the extent of the dissection as if the ascending aorta is involved (type A) then cardiothoracic repair may be required.

Incorrect

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