Abdominal aortic aneurysm physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===General=== | ===General=== | ||
====Vital Signs==== | |||
The following may or may not be present: | |||
*[[Tachycardia]] | *[[Tachycardia]] | ||
*[[Hypotension]] | *[[Hypotension]] | ||
Revision as of 00:24, 9 August 2013
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Abdominal Aortic Aneurysm Microchapters |
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Differentiating Abdominal Aortic Aneurysm from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Abdominal aortic aneurysm physical examination On the Web |
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Directions to Hospitals Treating Abdominal aortic aneurysm physical examination |
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Risk calculators and risk factors for Abdominal aortic aneurysm physical examination |
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
A physical examination has low sensitivity in the detection of small abdominal aortic aneurysms (29-61% for abdominal aortic aneurysms 3.0-3.9 cm in diameter), but has a sensitivity of 76-82% in the detection those abdominal aortic aneurysms that are 5.0 cm or larger that may warrant repair. It is easier to detect a pulsatile mass in thin patients and those who do not have tense abdomens. Contrary to popular belief, gentle palpation of abdominal aortic aneurysms is safe and does not precipitate a rupture.
Physical Examination
General
Vital Signs
The following may or may not be present:
Abdomen
- Inspection
Flank ecchymosis (Grey Turner sign) may be present in cases of ruptured aneurysms due to retroperitoneal hemorrhage.
- Palpation
A pulsating or non-pulsating abdominal mass may be palpable.
- Auscultation
Abdominal bruit is nonspecific for a nonruptured aneurysm and can be present in cases of visceral or renal arterial stenosis[1].
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
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