Abdominal Aortic Aneurysm (AAA)
Overview of Abdominal Aortic Aneurysm: presentation, risk factors, rupture risk, clinical features, investigations, emergency management, and surgical options
Overview of Abdominal Aortic Aneurysm: presentation, risk factors, rupture risk, clinical features, investigations, emergency management, and surgical options
Abdominal Aortic Aneurysm (AAA) Surveillance Chart. All incidentally found aortic aneurysms should be referred to a vascular surgeon if the patient is a potential candidate for surgery.
Bryant’s sign: Scrotal ecchymosis associated with ruptured abdominal aortic aneurysm (AAA) first described in 1903 by John Henry Bryant (1867-1906)
Abdominal CT: Trauma series. Solid organ injuries. Trauma is a leading cause of death worldwide and it has two broad classifications: Blunt and penetrating
Abdominal CT: Identifying intestinal ischaemia. Mesenteric ischaemia can be visualised on CT through examining blood vessels and the bowel
POCUS made easy: AAA scan is useful to look for a ruptured or leaking abdominal aortic aneurysm
An 80-year-old man presents with acute abdominal pain. He is in a shocked state, HR 95, BP 82/55, peripherally shutdown.
Non-traumatic abdominal ecchymosis of the abdominal wall and flanks (Grey Turner, Cullen and Stabler); scrotum (Bryant) and upper thigh (Fox) as clues to potentially serious causes of abdominal pathology.
Grey Turner sign refers to bruising of the flanks. Originally described 1919 (published 1920) by George Grey Turner (1877–1951) most commonly associated with acute pancreatitis
John Henry Bryant (1867–1906) English physician. Eponym: Blue Scrotum Sign of Bryant associated with ruptured abdominal aortic anurysm (1903)
Fox's sign: non-traumatic ecchymosis over the upper outer aspect of the thigh secondary to abdominal haemorrhage. First described by English surgeon John Adrian Fox in 1966
John Adrian Fox English surgeon. Eponym: Fox's sign (1966) non-traumatic ecchymosis upper outer thigh with abdominal haemorrhage