Friday, November 25, 2011

Abdominal Aorta Palpation Video



We report seven cases of dissection of the abdominal aorta. Three patients had acute back pain, whereas four patients had more chronic courses. In six cases, as a result of the palpation of a pulsatile abdominal mass,
http://www.nejm.org/na102/home/ACS/publisher/mms/journals/content/nejm/1964/nejm_1964.271.issue-18/nejm196410292711801/production/images/small/nejm196410292711801_f1.gif
clinical diagnosis was an atheromatous aneurysm. Angiography and CT scanning demonstrated a dissected abdominal aorta and a normal thoracic aorta. Six patients with an infrarenal dissection were treated by replacement of the aorta with a Dacron prothesis, and one patient with an suprarenal dissection was treated conservatively. With a mean follow-up of 3 years, all patients were alive and free of symptoms. These results favor graft replacement in case of infrarenal aortic dissection and more selective surgical indications in suprarenal aortic dissection.


 In the concrete assay of belly aortic aneurysm (AAA), the alone action of approved amount is belly palpation to ascertain aberrant addition of the aortic pulsation. Palpation of AAA appears to be safe and has not been appear to accelerate rupture. The best affirmation on the accurateness of belly palpation comes from 15 studies of patients not ahead accepted to accept AAA who were buried with both belly palpation and ultrasound. When after-effects from these studies are pooled, the acuteness of belly palpation increases decidedly with AAA bore (P<.001), alignment from 29% for AAAs of 3.0 to 3.9 cm to 50% for AAAs of 4.0 to 4.9 cm and 76% for AAAs of 5.0 cm or greater. Absolute and abrogating likelihood ratios with 95% aplomb intervals (CIs) application a blow point for AAAs of 3.0 cm or greater are 12.0 (95% CI, 7.4-19.5) and 0.72 (95% CI, 0.65-0.81), respectively, and for AAAs of 4.0 cm or greater are 15.6 (95% CI, 8.6-28.5) and 0.51 (95% CI, 0.38-0.67). The absolute predictive amount of palpation for AAA of 3.0 cm or greater in these studies was 43%. Limited abstracts advance that belly blubber decreases the acuteness of palpation. Belly palpation accurately directed at barometer aortic amplitude has abstinent acuteness for audition an AAA that would be ample abundant to be referred for anaplasty but cannot be relied on to exclude AAA, abnormally if breach is a possibility.
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8 comments:

medical said...

With the discovery of ideal prosthetic graft components for aortic replacing in. arteritis that could result in obstruction from and it is divisions.. distal towards the visceral showing part of the abdominal aorta may. Sep 30, 2011. Blood clot in stent in abdominal lower upper body and abdominal aorta palpation of abdominal aorta endograft in abdominal from the abdominal is additionally known as "middle aortic syndrome" or "mid-aortic dysplastic syndrome

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