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+--- Thread: AAA mgmt. when unstable (hypotension)? - heifanami (/showthread.php?tid=785905)
AAA mgmt. when unstable (hypotension)? - heifanami - ArchivalUser - 08-16-2014
Is it true that AAA mgmt (ex. pt presents with severe ab/back pain + hypotension) depends on whether the patient has a history of a previous AAA diagnosis or not?
Archer mentioned that in this scenario if A) the patient has a previous diagnosis of AAA that you can go straight to surgery. But if B) the patient doesn't have a previous diagnosis that you have do do a beside ultrasound (FAST) to diagnose it in 5-10 min, then you go surgery after the diagnosis.
Just wondering if that's how most of you guys approach it as well.
0 - ArchivalUser - 08-16-2014
Its better to do fast regardless because you want to see if it meet requirements for surgery.. Even with postive history of AAA, if the aneurysm
0 - ArchivalUser - 08-16-2014
isn't >5cm, you wouldn't want to operate on it
0 - ArchivalUser - 08-16-2014
US is inferior to ct to detect bleedin AAA.
CT has to be done if unstable or low back pain