Abdominal Aortic Aneurysm Quiz- Case 05 – WFUMB

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Question 1 of 2

1. Question
Clinical Description:

75 yr old male. Sudden onset epigastric and back pain. Shocked, diaphoretic, ashen

Is there a clinical question that POCUS can answer?
- Yes
- No
Correct

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).

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Question 2 of 2

2. Question
Clinical Description:

75 yr old male. Sudden onset epigastric and back pain. Shocked, diaphoretic, ashen

Provided you have imaged all of the abdominal aorta, which of the following statements is most correct?
- You have ruled out AAA and aortic dissection
- You have ruled out AAA but not ruled out aortic dissection
- You have not ruled out AAA but have ruled out aortic dissection
- You have not ruled out AAA or aortic dissection
Correct

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).

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