Atraumatic Abdominal Ecchymosis
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.
Tag Abdominal Aortic aneurysm
Grey Turner sign
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
Blue Scrotum Sign of Bryant
Scrotal ecchymosis associated with ruptured abdominal aortic aneurysm (AAA) first described in 1903 by John Henry Bryant (1867 – 1906)
Fox’s sign
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
vanPOCUS: Abdominal Aorta
A Vancouver POCUS module on scanning the abdominal aorta for aneurysms by Dr. Justin Ahn
Abdominal aortic aneurysm (AAA)
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
Myocardial ischemia post AAA repair
Detecting Myocardial Ischaemia Post AAA Repair
Hypertension Post AAA Repair
OVERVIEW common potential life threatening -> myocardial ischaemia, anastomotic rupture, CVA requires urgent management and cause identification CAUSES equipment/measurement error: check arterial line trace, transducer, NIBP wound pain: analgesia full bladder: make sure catheter draining inadequate sedation: sedate incomplete neuromuscular…
Vascular Surgery Literature Summaries
Vascular Surgery Literature Summaries
Ultrasound Case 060
An 80 year old woman arrests in your department. She had presented an hour earlier with back pain. You start to prepare for a subcostal view of the heart and this is what you see.
Ultrasound Case 058
A 71 year old man presents with severe back pain and hypotension. You suspect abdominal aortic aneurysm (AAA).
Ultrasound Case 057
A 68 year old man is brought in by ambulance with severe lower back and lower limb pain and paralysis. Clinically he has lower limb ischaemia and you wonder about aortic dissection as the cause.