Thoracic aortic aneurysm physical examination: Difference between revisions

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Revision as of 18:22, 28 October 2012

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

The patient may be hoarse in the presence of an arch aneurysm due to compression of the recurrent laryngeal nerve

A widened pulse pressure may be present due to aortic insufficiency in the presence of an ascending aortic aneurysm

Signs of superior vena cava obstruction such as a swollen face and neck may be present in the presence of an ascending aortic aneurysm

Stridor and wheezing may be present in the presence of a descending aorta aneurysm

@@ Line 2: / Line 2: @@
 {{CMG}}
+==Overview==
 ==Physical examination==
-Thoracic aortic aneurysms (TAA) are discovered after imaging studies and chest radiographs
+===General===
+*The patient may be hoarse in the presence of an arch aneurysm due to compression of the [[recurrent laryngeal nerve]]
-Thoracic aortic aneurysms are asymptomatic until the aneurysm expands
+===Vitals===
+*A [[widened pulse pressure]] may be present due to [[aortic insufficiency]] in the presence of an ascending aortic aneurysm
-Ascending aortic aneurysms:
+===Neck===
-*cause anterior chest pain and [[superior vena cava]] obstruction
+*Signs of [[superior vena cava obstruction]] such as a swollen face and neck may be present in the presence of an  ascending aortic aneurysm
-*may develop aortic insufficiency, widened pulse pressure, [[diastolic murmur]], and [[heart failure]]
+===Cardiac===
-Arch aneurysms:
+*Signs of [[aortic insufficiency]] and [[left ventricular heart failure may be present]] in the presence of an  ascending aortic aneurysm
-*cause neck pain and hoarseness due to stretching if the [[laryngeal]] nerves
+===Pulmonary===
-Descending thoracic aneurysms:
+*[[Stridor]] and [[wheezing]] may be present in the presence of a descending aorta aneurysm
-*cause back pain between the scapulae
-*may increase pressure to the [[trachea]] or [[bronchus]], consequently causing [[dyspnea]], [[stridor]], [[wheezing]], or [[cough]]
 ==References==