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Aortic Aneurysm Rupture

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  • suspect in any male over 55 years with back pain
    • more common than urinary stones in this age group

Differential

History

  • sudden onset
  • upper abdominal/periumbilical pain
  • radiating to back

Examination

  • elderly
  • shocked
  • abdominal distension
  • tender, pulsatile mass

Treatment

  • fluids
    • as much as possible through two large cannulae
  • bloods
    • FBC
    • U&E
    • Amylase
    • Blood sugar
    • clotting
    • ABGs
  • oxygen
  • Blood
    • 10 Units
    • FFP
    • Platelets
  • inform theatre
  • antibiotics
  • nasogastric tube once anaesthetised
  • urinary catheter
  • on table preparation
 

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