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.
Abdominal CT: Identifying intestinal ischaemia. Mesenteric ischaemia can be visualised on CT through examining blood vessels and the bowel
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
Scrotal ecchymosis associated with ruptured abdominal aortic aneurysm (AAA) first described in 1903 by John Henry Bryant (1867 – 1906)
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
A Vancouver POCUS module on scanning the abdominal aorta for aneurysms by Dr. Justin Ahn
Abdominal Aortic Aneurysm (AAA) is a permanent localised or diffuse dilatation of the abdominal aorta to 1.5 times its normal diameter that involving all three layers of the vessel wall
Detecting Myocardial Ischaemia Post AAA Repair