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POCUS AAA

Page history last edited by JeriJohnson 4 years, 3 months ago

POCUS AAA/Aorta Exam

 

Clinical point-of-care questions:

1. Is the aorta >3 cm in diameter?

2. Are the iliac arteries >1.5 cm in diameter?

 

Teaching objectives:

1. Identify aorta in transverse and longitudinal (left side of spine, pulsatile, thick wall).

2. Measure aorta from outer to outer wall (don't want to miss a mural thrombus!, measure both width and A-P diameter).

3. Identify iliac artery bifurcation and measure diameter of iliac arteries (most AAAs are infrarenal)

 

Clinical case:

65 year old undocumented male without insurance who has extensive smoking history who cannot afford AAA screening. What can you do for him in clinic?

 

with history of smoking 1 pack per day for 40 years who presents with acute onset abdominal pain.

 

Videos:

Aorta exam comprehensive module: http://uscm.med.sc.edu/mods/7C/player.html (19 minutes)

Aorta exam: https://www.youtube.com/watch?time_continue=127&v=NI-tU5w-gzg (2 minutes)

AAA: https://www.youtube.com/watch?time_continue=105&v=WKnFD6KeO4c (9 minutes)

 

 

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