Sandbox Yaz

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Identify cardinal findings that increase the pre-test probability of symptomatic or complicated abdominal aortic aneurysm (AAA)

❑ Known large AAA > 5.5 cm or known rapid AAA expansion rate > 0.5 cm/year
❑ Acute abdominal/back pain that may radiate to buttocks, groin region, or lower extremities

❑ Tearing/sharp quality
❑ Increasing in intensity

❑ Pulsating abdominal mass
❑ Hypotension or shock
❑ Altered mental status
❑ Unexplained syncope
❑ Coma
❑ Muscular weakness
❑ Cold extremities
❑ Peripheral cyanosis
❑ Acute limb pain
❑ Fever or sepsis
❑ Known infective endocarditis (high risk for infected aneurysm)
❑ Presence of AAA risk factors

❑ Female gender
❑ Advanced age > 50 years
❑ Smoking
❑ Advanced atherosclerosis
❑ History of prior stroke
❑ Hypertension
❑ Transplantation (Cardiac or renal)
❑ Known reduced FEV1 (obstructive pulmonary disease)