Condition Info - BotMed Application

ConditionName

Abdominal Aortic Aneurysm (AAA)

ConditionDescription

Symptoms

Asymptomatic. Generalized abdominal pain; Chest pain; Low back pain; Sudden onset, severe pain; typically slowly expand and sometimes rupture; 
May cause a pulsing sensation in the abdomen and; when they rupture; cause deep; excruciating pain; low blood pressure; and death; Elderly population most affected; hypertensive

PhysicalFindings

Palpable pulsatile mass is present or not. 
With a stethoscope placed on the middle of the abdomen; doctors may hear a whooshing sound (bruit) caused by turbulence as blood rushes past the aneurysm. 
Hypotension.

ClinicalTests

US of abdomen;
CT angiography of abdomen; 
Abdominal x-ray detects an aneurysm that has calcium deposits in its wall.

RiskFactors

Smoking;
 Age (70-80 y/o);
Marfan syndrome;
Bicuspid aortic valve. 
Coaptation of aorta. 
Intestinal ischemia.
Dissection of aorta; 
Sock; 
Syphilis.
Male sex.
Race (whites > blacks). 
Family history (15-25%).

IsRedFlag

IsNPLEX

Consequence

Rapture;
Disseminated intravascular coagulation (rare);
Thrombosis;

ProgressionFromCondition

Weakening of the arterial wall, usually by atherosclerosis. Trauma. Vasculitis.Зostsurgical anastomotic disruption.
 

Uncommonly, syphilis and localized bacterial or fungal infection, typically due to sepsis or infective endocarditis, weaken the arterial wall and cause infected (mycotic) aneurysms. Staphylococcus aureus is the number one cause of mycotic aneurysms, followed by Salmonella.

TreatmentOptions

Surgical emergency. 
Smoking cessation;

PharmOptions

WebLink

https://www.merckmanuals.com/professional/cardiovascular-disorders/diseases-of-the-aorta-and-its-branches/abdominal-aortic-aneurysms-aaa