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75 yr old male. Sudden onset epigastric and back pain. Shocked, diaphoretic, ashen
As well as looking for a AAA, POCUS may reveal other pathology such as aortic dissection (although it can’t necessarily rule out these other diagnoses).
75 yr old male. Sudden onset epigastric and back pain. Shocked, diaphoretic, ashen
POCUS can rule out AAA but only if the entire abdominal aorta is imaged.Pocus cannot rule out aortic dissection, although it is less likely (in the setting of a shocked patient)with the findings of a normal abdominal aorta, normal BELS and normal aortic root. In these situations, the clinical presentation and judgment must direct further investigation and management (which may still require a CT angiogram or other imaging).