EXAMINATION OF ABDOMINAL AORTIC ANEURYSMS by EqGveB

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									EXAMINATION OF ABDOMINAL AORTIC ANEURYSMS

Lie the patient flat, with one pillow behind the head for comfort.

Inspection:
General observations to include:
    ?shocked
    pale?
    Abdominal pain, radiating to the back/flank
    Shortness of breath
Hands:
    Pulse (radial pulse absent if Systolic <60mmHg)
    Pale palmar creases.
    Nicotine Staining.
    Capillary refill time.
    Blood pressure (both arms).
Eyes:
    Arcus senilis
    Xanthelasma
Neck:
    Carotid pulse
Abdomen:
    Masses/Scars visible.

Palpation:
Abdominal:
    Pulsatile/Expansile Mass.
    ?Tender
    Describe site, size, shape, surface, edges, overlying skin
    Describe Consistency (Fluctuance, pulsatility, compressability, reduceability).
    Check for femoral pulses.

Auscultate:
    The aneuerysm (for bruits).
    Renal Arteries
    Femoral Arteries

“To complete my examination, I would like to:
   1. Perform a full Cardiovascular Examination.
   2. Perform a peripheral vascular examination”

Investigations:
    Bloods: FBC, U+E, X-Match 8-10u
    ECG
    If haemodynamically stable; CT
    Otherwise: THEATRE

								
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