Abdominal aortic aneurysm history and symptoms: Difference between revisions
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* [[Flank pain]] | * [[Flank pain]] | ||
* Groin [[pain]] | * Groin [[pain]] | ||
* [[Hematemesis]] (when associated with aortoenteric | * [[Hematemesis]] (when associated with aortoenteric [[fistula]]s) | ||
* Lower [[back pain]] | * Lower [[back pain]] | ||
* Lower extremity pain and discoloration (when associated with thromboembolization) | * Lower extremity pain and discoloration (when associated with [[thromboembolization]]) | ||
* [[Melena]] (when associated with aortoenteric | * [[Melena]] (when associated with aortoenteric [[fistula]]s) | ||
* [[Nausea and vomiting]] | * [[Nausea and vomiting]] | ||
* [[Syncope]] | * [[Syncope]] | ||
* Urinary symptoms (when associated with ureteral obstruction)<ref name="Chaikof-2009">{{Cite journal | last1 = Chaikof | first1 = EL. | last2 = Brewster | first2 = DC. | last3 = Dalman | first3 = RL. | last4 = Makaroun | first4 = MS. | last5 = Illig | first5 = KA. | last6 = Sicard | first6 = GA. | last7 = Timaran | first7 = CH. | last8 = Upchurch | first8 = GR. | last9 = Veith | first9 = FJ. | title = The care of patients with an abdominal aortic aneurysm: the Society for Vascular Surgery practice guidelines. | journal = J Vasc Surg | volume = 50 | issue = 4 Suppl | pages = S2-49 | month = Oct | year = 2009 | doi = 10.1016/j.jvs.2009.07.002 | PMID = 19786250 }}</ref><ref>{{cite book | last = Ferri | first = Fred | title = Ferri's clinical advisor 2015 : 5 books in 1 | publisher = Elsevier/Mosby | location = Philadelphia, PA | year = 2015 | isbn = 978-0323083751 }}</ref> | * Urinary symptoms (when associated with [[ureteral obstruction]])<ref name="Chaikof-2009">{{Cite journal | last1 = Chaikof | first1 = EL. | last2 = Brewster | first2 = DC. | last3 = Dalman | first3 = RL. | last4 = Makaroun | first4 = MS. | last5 = Illig | first5 = KA. | last6 = Sicard | first6 = GA. | last7 = Timaran | first7 = CH. | last8 = Upchurch | first8 = GR. | last9 = Veith | first9 = FJ. | title = The care of patients with an abdominal aortic aneurysm: the Society for Vascular Surgery practice guidelines. | journal = J Vasc Surg | volume = 50 | issue = 4 Suppl | pages = S2-49 | month = Oct | year = 2009 | doi = 10.1016/j.jvs.2009.07.002 | PMID = 19786250 }}</ref><ref>{{cite book | last = Ferri | first = Fred | title = Ferri's clinical advisor 2015 : 5 books in 1 | publisher = Elsevier/Mosby | location = Philadelphia, PA | year = 2015 | isbn = 978-0323083751 }}</ref> | ||
==References== | ==References== | ||
Revision as of 19:51, 29 April 2015
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Abdominal Aortic Aneurysm Microchapters |
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Abdominal aortic aneurysm history and symptoms On the Web |
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Risk calculators and risk factors for Abdominal aortic aneurysm history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Hardik Patel, M.D.
Overview
Abdominal aortic aneurysms (AAA) are usually asymptomatic until they expand or rupture. Spontaneous abdominal pain in a patient with a pulsatile epigastric mass or a known AAA may signal a rupture into the retroperitoneum or leakage within the aneurysm wall. If a patient does develop symptoms, the risk of rupture is quite high, which is why symptoms are considered an indication for surgery. Pain is the most common symptomatic manifestation.
History
Given that smoking increases the risk of developing an abdominal aortic aneurysm (AAA), a smoking history should be obtained in elderly men. If a male over the age of 65 has a history of smoking, he should undergo ultrasonography to screen for an AAA.
Symptoms
Abdominal aortic aneurysms are usually asymptomatic until they expand or rupture. The following symptoms may be present:
- Abdominal pain, radiating to the back, flank, and groin
- Clammy skin
- Early satiety
- Flank pain
- Groin pain
- Hematemesis (when associated with aortoenteric fistulas)
- Lower back pain
- Lower extremity pain and discoloration (when associated with thromboembolization)
- Melena (when associated with aortoenteric fistulas)
- Nausea and vomiting
- Syncope
- Urinary symptoms (when associated with ureteral obstruction)[1][2]
References
- ↑ Chaikof, EL.; Brewster, DC.; Dalman, RL.; Makaroun, MS.; Illig, KA.; Sicard, GA.; Timaran, CH.; Upchurch, GR.; Veith, FJ. (2009). "The care of patients with an abdominal aortic aneurysm: the Society for Vascular Surgery practice guidelines". J Vasc Surg. 50 (4 Suppl): S2–49. doi:10.1016/j.jvs.2009.07.002. PMID 19786250. Unknown parameter
|month=ignored (help) - ↑ Ferri, Fred (2015). Ferri's clinical advisor 2015 : 5 books in 1. Philadelphia, PA: Elsevier/Mosby. ISBN 978-0323083751.